Patient Account Representative - Hospital

Job Description

The Patient Accounts Representative 3 performs an important function in the revenue cycle of the Health System. This role is production based and works assigned queues to coordinate with patients, co-workers, and external agencies to ensure the prompt payment and/or reimbursement of hospital charges. Relies on experience and judgment to accomplish responsibilities; works under minimal supervision; creativity is expected to perform job and may lead and direct the work of others.

Must meet minimum performance and quality measures. REMOTE/WORK FROM HOME POSITION OPTIONAL.

• Payor Relations
• Performs billing, collections, payment processing and/or customer service tasks according to documented process, applying critical thinking to determine appropriate outcomes based on the situation.
• Updates account with ownership and accountability of the entire account at that point in time;
  Notes should be sufficient and complete to describe current situation and next steps.
• Leverages contract knowledge and expertise to drive revenue.
• Promptly answers inquiries from patients, co-workers, and employees regarding patient accounts in a kind and courteous manner.
• Works with insurance companies on provider contract agreements in order to ensure that correct adjustments to patient accounts are applied in a manner that best represents the financial interests of the patient.
• Receivables
• Ensures implementation of established billing and collection procedures and ensures that patient accounts receivable records comply with established policies and procedures in an effort to promote quality health care services and prudent hospital management.
• Monitors accounts receivable and keeps current on governmental third party and private insurance payer reimbursement billing procedures in an effort to ensure the proper and efficient handling of patient billing procedures.
• Quality
• Maintain a quality accuracy average of 95%.
• Maintain a production set by management for specialty focus.
• Thoroughly completes assigned tasks within the requested timeline.
• Performs other duties as assigned or requested.
• Attend Microsoft Teams meetings.

• Education
  :
  High School or equivalent
• Experience
  :
  Must have 3 years of relevant experience. Bachelor's Degree substitutes 2 years of experience. Associate's Degree, trade school, or certification substitutes 1 year of experience. Some examples of relevant experience include LPN, RN, Revenue Cycle, Accounting, Bookkeeping, Business, Billing, Coding, or call center environments.
• Skills and Training
  :
  Must possess knowledge of ICD-10, CPT and HCPCS coding. Must have accurate data entry skills. Must be able to answer multiple phone lines with incoming and outgoing calls. Must understand the explanation of benefits of various managed care companies. Must be able to demonstrate teamwork and willingness to work in cooperation and support of others as well as comply with FMOLHS policies and procedures.