patient account representative

Phoebe Health

<div><div><div><div><div><h1 class="jobSectionHeader"><b>Patient Account Representative</b></h1>
<div><div><div>Albany, GA</div>
</div></div><div><p><b>Apply For This Role
</b></p><p><b>View Full Job Description
</b></p></div></div></div></div></div><div><div><p><b>Apply For This Role
</b></p><p><b>View Full Job Description
</b></p></div></div><div></div><div><div><ul><div><div><div><b>Job Number:</b></div>
<div>33621</div>
</div></div><div><div><div><b>Location:</b></div>
<div>Phoebe North Campus</div>
</div></div><div><div><div><b>Address:</b></div>
<div><div>2000 Palmyra Rd</div>
Albany, GA
</div></div></div><div><div><div><b>Postal Code:</b></div>
<div>31701</div>
</div></div><div><div><div><b>Job Type:</b></div>
<div>Full time</div>
</div></div></ul></div></div><div><div><div><h3 class="jobSectionHeader"><b>Patient Account Representative</b></h3>
<div><div><b>Location:</b> Albany, GA</div>
<div><b>Job ID:</b> 33621</div>
</div><div><div><h2 class="jobSectionHeader"><b>Qualifications</b></h2>
<ul><li>High School Diploma or GED (Required)</li>
</ul><h2 class="jobSectionHeader"><b>Work Experience</b></h2>
<ul><li>2 - 3 years in a structured business environment (Required)</li>
<li>2 - 3 years in a hospital, physician office, or insurance environment (Preferred)</li>
</ul><h2 class="jobSectionHeader"><b>Licenses and Certifications</b></h2>
<p><b>
Required Certifications/Licensures:</b></p>
<ul>
<li>CPAR certification or must be obtained within two years of employment</li>
</ul><h2 class="jobSectionHeader"><b>Essential Functions</b></h2>
<h3 class="jobSectionHeader"><b>ATTENTION TO BILLING DETAIL - PATIENT ACCOUNT REP:</b></h3>
<ul><li>Prepares billing and follows up on claims in a timely manner.</li>
<li>Performs accurate and timely billing and account reviews ensuring that accurate information has been reviewed before sending to applicable payors or state agencies.</li>
<li>Conducts account review ensuring accurate billing information, enters and revises information as needed prior to claim being submitted.</li>
<li>Prepares adjustment bills, rebills, reprints claims and/or other source documents.</li>
<li>Processes failed claims in biller work file according to carrier specific requirements.</li>
<li>Coordinates with concurrent review precert nurse and/or admitting staff on precertification requirements.</li>
<li>Prepares daily productivity reports.</li>
</ul><h3 class="jobSectionHeader"><b>CUSTOMER SERVICE - PATIENT CLAIM ISSUES:</b></h3>
<ul><li>Serves as liaison between patient, employer, and carrier in resolving claim issues.</li>
<li>Communicates with patient, employer, and carrier regarding claim status.</li>
<li>Processes patient inquiry requests within 24 hours.</li>
<li>Assists with Customer Service coverage duties as need arises.</li>
</ul><h3 class="jobSectionHeader"><b>KNOWLEDGE OF BUSINESS OFFICE DEPARTMENT GUIDELINES AND PROGRAMS:</b></h3>
<ul><li>Demonstrates knowledge of ever changing payer guidelines and regulations, programs, and machines used.</li>
<li>Demonstrates mastery of computer programs and office machines used. Strong performance includes mastery of the following skills, tasks, and behaviors.</li>
<li>Creates and maintains via account notes, all correspondence, whether written or verbal, including discussion with carriers, patients, or guarantors. Scans correspondence into the ChartMaxx system.</li>
<li>Submits Medicare Credit Balance Report quarterly, necessary to ensure that Phoebe Putney Memorial Hospital remains compliant with CMS rules and regulations.</li>
<li>Attends seminars and education relating to Medicare, Medicaid, and Commercial.</li>
<li>Attends and participates in hospital and departmental staff meetings.</li>
</ul><h3 class="jobSectionHeader"><b>DOCUMENTATION:</b></h3>
<ul><li>Documents and submits required information and data in a timely fashion.</li>
<li>Clearly and accurately documents designated processes, policies, products, service offerings, etc.</li>
<li>Ensures that documentation is tailored to expected readers/users.</li>
<li>Uses correct terminology.</li>
<li>Conforms to required style and format.</li>
</ul><h2 class="jobSectionHeader"><b>Additional Duties</b></h2>
<ul><li>Adheres to the hospital and departmental attendance and punctuality guidelines.</li>
<li>Performs all job responsibilities in alignment with the core values, mission, and vision of the organization.</li>
<li>Performs other duties as required and completes all job functions as per departmental policies and procedures.</li>
<li>Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs).</li>
<li>Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.</li>
<li>Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs.</li>
<li>For non-clinical areas, has attended training and demonstrates usage of age-specific customer service skills.</li>
<li>Wears protective clothing and equipment as appropriate.</li>
</ul></div></div></div></div></div><p></p><div><div><h2 class="jobSectionHeader"><b>Other Opportunities</b></h2>
<div></div><div><div><div><div><div><div><div><div><h3 class="jobSectionHeader"><div><b>Medical Center Rep</b></div></h3>
</div><div><div>Phoebe Putney Memorial Hospital</div></div>
<div><div>Albany, GA</div></div>
</div></div></div><div><div><div><div><h3 class="jobSectionHeader"><div><b>Certified Coder PPG CBO</b></div></h3>
</div><div><div>Phoebe North Campus</div></div>
<div><div>Albany, GA</div></div>
</div></div></div><div><div><div><div><h3 class="jobSectionHeader"><div><b>Coding Auditor &amp; Education Advisor</b></div></h3>
</div><div><div>Phoebe Putney Memorial Hospital</div></div>
<div><div>Albany, GA</div></div>
</div></div></div><div><div><div><div><h3 class="jobSectionHeader"><div><b>Reimbursement Specialist - Medicare &amp; Medicaid Specialty Programs</b></div></h3>
</div><div><div>Phoebe North Campus</div></div>
<div><div>Albany, GA</div></div>
</div></div></div><div><div><div><div><h3 class="jobSectionHeader"><div><b>Education and Quality Assurance Spec.</b></div></h3>
</div><div><div>Phoebe North Campus</div></div>
<div><div>Albany, GA</div></div></div></div></div></div></div></div></div></div></div></div><p></p>

PATIENT ACCOUNT REPRESENTATIVE

Luminis Health

<div><p><b>Position Objective:</b></p><p>
The Patient Account Representative works in the Central Billing Office (CBO) providing billing services such as the processing and submission of patient charges and appropriate follow up with insurance companies and patients. The Patient Account Representative provides outstanding service to both internal and external customers utilizing the telephone as their primary source of communication.</p><p><b>
Essential Job Duties:</b></p><p>
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions</p><ul><li>
Demonstrates Proficient Use of Practice Management Software: Efficient utilization of billing system database to update facility file and patient demographic information; assures correct balance of charge and payment batches, bank deposits, and proper reconciliation. Ability to edit a claim and send/receive claim notes in the billing system.</li><li>
Competence with Insurance Issues: Demonstrated ability to post charges, payments, adjustments, and knows how to work unpostables. Understands the credit, collection, and zero pay work lists and knows how to effectively use them. Demonstrates the ability to understand and utilize kick codes correctly and shows competence with coding knowledge.</li><li>
Organization Efficiency: Effectively maintains collections and follow up account activity by ensuring the proper organizations, tracking, filing and documenting of all correspondence.</li><li>
Demonstrated ability to utilize Outlook email and navigate in the Word and Excel software applications.</li><li>
Demonstrates Competence with the Collection Process: Responds to patient billing and insurance inquiries and facilitates resolution of financial issues promptly.</li><li>
Demonstrates basic knowledge in interpreting and understanding billing slips and the athena workflow dashboard.</li><li>
Business Operations: Accurately completes payment/deposit batches with proper allocation of monies. Completes and understands month end productivity and statistical reports. Understands applicable financial policies to include cash discounts, payment plans, sliding fee schedule, etc. Reviews patient invoices and claims for accuracy and completeness before submission.</li><li>
Provides Outstanding Customer Service: Prepares account history information for physician review and/or transfer to collection agency.</li><li>
Answers patient calls in a professional and timely manner, projecting proper telephone etiquette; understands when it is acceptable to release patients protected health information.</li><li>
Business Conduct: Displays professionalism in the workplace maintaining a positive team attitude; demonstrates dependability through perfect attendance and reliability via non-existent tardiness.</li></ul><p><b>
Educational/Experience Requirements:</b></p><ul><li>
High school diploma or GED.</li><li>
Two to four years of billing experience including ICD9, CPT coding and medical terminology or related experience. Experience operating multi-line phone system, fax machine, photocopier, and PC. Experience with Microsoft Office, Word and Excel. Ability to communicate professionally via internet. Ability to operated PC efficiently and type 40 wpm.</li></ul><p><b>
Required License/Certifications:</b></p><p><b>
Working Conditions, Equipment, Physical Demands:</b></p><p>
There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.</p><p>
Physical Demands -</p><p></p><p><b><br>
The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.</b></p><p>
The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.</p><p><b>
Luminis Health Benefits Overview:
</b></p><ul><li>Medical, Dental, and Vision Insurance.</li><li>
Retirement Plan w/employer contribution.</li><li>
Paid Time Off.</li><li>
Employee Tuition Assistance Benefits.</li><li>
Employee Referral Bonus Program</li><li>
Employer Paid Holidays, Disability, and Life/AD&amp;D for full time employees</li><li>
Wellness Programs/Employee Assistance Programs and more</li></ul><div><div><b>
Luminis Health Benefits Overview:</b><br>
<ul><li>Medical, Dental, and Vision Insurance</li><li>Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)</li><li>Paid Time Off</li><li>Tuition Assistance Benefits</li><li>Employee Referral Bonus Program</li><li>Paid Holidays, Disability, and Life/AD&amp;D for full-time employees</li><li>Wellness Programs</li><li>Employee Assistance Programs and more</li><li>Benefit offerings based on employment status</li></ul></div>
<p><b>
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<br>
To enable this feature, select &quot;yes&quot; when asked to &quot;opt-in to receive text messages&quot; and to &quot;Receive updates from a recruiter about this job via SMS&quot; when completing your application. Once you are opted in, you can easily opt-out at any time.<br>
<i>Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.</i></p></div></div><p></p>

Patient Account Representative

Dayton Center for Neurological Disorders, Inc

<div><div>Job Title: Patient Account Representative<br>
Department: Billing<br>
Reports To: Billing Manger/ HR Director<br>
<br>
The primary function of this position will be to be the main point of contact for patients that are calling in to the practice to discuss their balances, collect payments over the phone, set up payment plans, etc. This person will communicate with patients, and coworkers, and practice leadership by answering a busy telephone queue, emails, chat messages, and TEAMs messages to assist with any questions regarding balances, billing, collections and reimbursement. This candidate must have a comfort level the provide a thorough explanation of benefits to patients, and properly explains reasoning behind balances and collections.</div><div>
</div><div><b>
Required skills and qualifications</b></div><div><b>
Technical skills:</b><br>
Proficiency with medical billing and electronic health record (EHR) software.<br>
Understanding of medical coding systems like CPT and ICD-10.<br>
Familiarity with claim forms, such as CMS-1500 and UB-04.<br>
<b>Soft skills:</b><br>
Strong verbal and written communication for interacting with patients, co-workers, and practice leadership.<br>
Exceptional organizational and attention to detail.<br>
Problem-solving and analytical skills to resolve billing discrepancies.<br>
Ability to work independently and manage time effectively to meet deadlines.<br>
</div><div><b>
Education and experience:</b><br>
High school diploma or equivalent required.<br>
Previous experience in medical billing or a related field is a plus.</div><div>
</div><div><div><b>
Pay Scale:</b> The hourly pay range for this position is $17.50-$25.00. Please note that the pay range provided is a good faith estimate for the position at the time of posting. Actual compensation will be dependent on factors, including but not limited to the individual's qualifications, experience, knowledge, skills, and abilities.<br>
<br>
<b>Benefit Offerings:</b><br>
DCND offers a variety of benefits for full-time employees, including employer paid life and short term disability insurance, employer sponsored health, dental, and vision insurances. DCND also offers additional optional employee paid benefits including additional Life, Critical Illness, and Long Term Disability insurance. Time off for this position would be faccrued per pay period. Employees in their first year of employment accrue 96 hours of PTO. The amount of time off an employee accrues is based on years of service.</div></div><br>
M-F (8:00 a.m. - 4:30 p.m.)</div>

FMOL Health

<div><p>The Patient Accounts Representative 2 works with patients, co-workers and external agencies to ensure the prompt payment and/or reimbursement of hospital and/or professional charges. The Patient Accounts Representative 2 is responsible for the monitoring of patient accounts which includes, but is not limited to: claim submissions, researching and reviewing back end denials; determining appropriate action for submission of provider claims; outbound and inbound calls from insurance carriers, providers and patients; payment posting; collections; account adjustments and appeals.</p></div>
<br><div><div><ul><li>Customer Service
<div><ul><li>Promptly answers inquiries from patients, co-workers, and employees regarding patient accounts in a kind and courteous manner.
</li></ul><ul><li>Assists in providing quality training and orientation for assigned employees.
</li></ul></div></li></ul><ul><li>Payer Relations
<div><ul><li>Advises patient or guarantor of third party payer benefits and estimated private payer amount and collects partial payments prior to admission in a manner that promotes the provision of high quality health care services by the department.
</li></ul><ul><li>Reviews patient papers and documentation for reported information accuracy, and researches errors on patient accounts, billing and insurance problems, and lost payments in order to ensure accurate record maintenance and prudent departmental operation.
</li></ul><ul><li>Makes written and verbal inquiries to third party payers, reconciles patient accounts, and makes payment arrangements in an effort to ensure that patients are free from financial burden and that patient interests are appropriately represented.
</li></ul><ul><li>Coordinates and originates payroll deduction actions for hospital employees in accordance with established policies and procedures, and oversees collection letter mail-outs for delinquent unpaid patient accounts in a prudent and efficient manner.
</li></ul><ul><li>Sends itemized patient account statements per attorney request or in response to subpoena in a professional and diligent manner.
</li></ul><ul><li>Reviews claims to make sure that payer specific billing requirements are met.
</li></ul><ul><li>Follows up on claims, determines and applies appropriate adjustments.
</li></ul><ul><li>Updates accounts.
</li></ul></div></li></ul><ul><li>Receivables
<div><ul><li>Works with external agencies and companies to provide patients with prompt reimbursement for hospital services. Interprets, explains, and counsels patient and family regarding hospital charges, services, and payment policies in a manner sensitive to the needs and financial situation of the patient.
</li></ul></div></li></ul><ul><li>Quality
<div><ul><li>Maintain a quality accuracy average of 95%
</li></ul><ul><li>Maintain a production set by management for specialty focus.
</li></ul><ul><li>Thoroughly completes assigned tasks with in the requested timeline.
</li></ul></div></li></ul><ul><li>Other Duties As Assigned
<div><ul><li>Performs other duties as assigned or requested.</li></ul></div></li></ul></div></div>
<br><div><ul><li>Must have 2 yrs experience of relevant experience. Bachelor's Degree substitutes 2 yrs exp. Associate's Degree, trade school, or certification substitutes 1 yr exp.
</li><li>Some examples of relevant experience include LPN, RN, Revenue Cycle, Accounting, Bookkeeping, Business, Billing, Coding or call center environments.
</li><li>High School or equivalent
</li><li>Must possess knowledge of ICD-9/10, 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.</li></ul></div>

Patient Account Representative 2 - Hospital

Redlands Community Hospital

Reporting to the Director of Patient Financial Services, this position is responsible for accurate insurance and self-pay billing, and follow-up .
<br><br>
<ul>
<li>Ability to meet all job physical requirements as outlined in job description or as agreed through a work place accommodation</li>
</ul>
<b>EDUCATION/TRAINING/ EXPERIENCE:</b><br>
<ul>
<li>High school diploma or equivalent preferred.</li>
<li>One year of current hospital collection/billing experience preferred.</li>
<li>Computer skills preferred.</li>
</ul>
<b>CERTIFICATIONS/LICENSES:</b><br>
<ul>
<li>None.</li>
</ul>


Power County Hospital District

<div><h3 class="jobSectionHeader"><b>Description</b></h3>
<ul><li>Collection of patient pay accounts for hospital and clinic in a timely and accurate manner.</li>
<li>The business office will meet the industry standard of accounts receivable days.</li>
<li>Inquiries from patients handled correctly and within two days of receipt.</li>
<li>Accounts receivable aging reports for patient pay accounts over 30 days of insurance payment date are reviewed with aggressive follow up.</li>
<li>All follow-up comments are documented on assigned accounts in the system.</li>
<li>Department policies and procedures are followed to ensure that collection is done efficiently.</li>
<li>Is current and knowledgeable in patient accounting as related to changes in laws and third party payer policies.</li>
<li>Monitors patient pay accounts assuring all collection efforts have been exhausted.</li>
<li>Handles inquiries from patients regarding claims and ascertains that they are answered correctly and timely.</li>
<li>Responsible for issuing patient statements each month.</li>
<li>Compile collection package for collection agency and work with agency in collection of accounts turned to bad debt.</li>
<li>Responsible for the accurate balance of the patient accounts receivables.</li>
<li>Maintains all patient files with appropriate and accurate documentations.</li>
<li>Prepares periodic update reports as required by the Patient Accounting Supervisor/Business Office Manager.</li>
<li>Thorough, complete understanding and command of computer applications as they pertain to the business office functions. The patient account representative is responsible to maintain a working knowledge and able to perform each system function.</li>
<li>Keeps the Patient Accounting Supervisor/Business Office Manager Patient Accounting Supervisor consistently advised of activities with written recommendations for solutions. Maintains current knowledge of health care accounting and reimbursement issues and develops reports and recommendations for change.</li>
<li>Performs all other duties assigned by the Patient Accounting Supervisor/ Business Office Manager.</li>
</ul><h3 class="jobSectionHeader"><b>Qualifications</b></h3>
<ul><li>High school graduate or equivalent.</li>
<li>Experience in computer systems required; skills also required include key punch, ten key by touch, basic math and writing skills.</li>
<li>Must have ability to apply principles of logical thinking to identify ad define problems; develop and implement solutions; collect data, establish facts and draw valid conclusions.</li>
<li>Must work calmly and efficiently under pressure, handling demands from multiple sources professionally and courteously. Must be a self-starter.</li>
<li>Exemplifies a team concept. Exhibits tact and understanding in all interpersonal relations. Demonstrates flexibility, adaptability and good problem-solving skills in a variety of settings.</li>
<li>Promotes continual organizational performance improvement.</li>
<li>Demonstrates excellence in customer service skills.</li>
<li>Supports organizational mission and values.</li>
<li>Must have excellent organizational and communication skills.</li>
<li>Be bilingual</li></ul></div>

Patient Account Representative/Rotator Clerk

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Patient Account Representative/Rotator Clerk