patient accounting representative

Bates County Memorial Hospital

<div>This opening is for a 40 per week day shift position.
The Patient Accounts Financial Representative is responsible for screening patients for payment resources and counseling patients on their personal financial responsibilities and making them aware of resources that may be available to assist them. They will give assistance in the application of those resources. The Patient Accounts Financial Representative will also be responsible for answering patient calls, walk-ins, and correspondence related to patient billing, while using proper customer service protocol. To resolve a patient billing issue, it may be necessary to make outbound calls to an Insurance company, Attorney, Doctor, Department Directors, etc. You will be required to ask patients to pay their bill or set up a payment plan. Your role is to improve cash flow and reduce bad debt receivables while providing good customer service. 


Experience and Education:
<ul><li>
Knowledge of the Microsoft office suite</li><li>
Knowledge of standard office equipment (copier, fax machine)</li><li>
Ability to type and use a 10 key</li></ul>

Minimum:
<ul><li>Experience in clerical or customer service
</li></ul>Knowledge/Skills/Required Abilities
<ul><li>
Personal technology device to download DUO application to enable access to hospital email by multi-factor authentication.</li><li>
Displays good organizational skills and utilizes time wisely.</li><li>
Maintains a neat and orderly work environment.
</li><li>Completes assigned tasks in a timely manner and seeks additional work upon completion of assignments.</li><li>
Displays attention to detail and accuracy of tasks</li><li>
Demonstrates good communication skills and empathy</li><li>
Willingly shares information and resources with co-workers.
</li><li>Takes the time to explain and exchange information with customers.</li><li>
Maintains composure under stress and continues to work effectively.</li><li>
Discusses personal, patient, and staff-related issues in a confidential manner and in the appropriate location and follows Hospital policy concerning Confidentiality.</li><li>
PC skills &ndash; demonstrates proficiency in Microsoft Office applications and others as required</li><li>
Treats customers in an ethical manner, respects the dignity and individuality of customers. Demonstrates commitment to customers by putting their well-being before personal, financial, or procedural concerns.</li><li>
Work independently.</li></ul></div>

Patient Accounts Financial Representative

BJC HealthCare

<div><div>BJC HealthCare is seeking a Patient Accounts Representative II for our refunds team! If you have a background in insurance or billing follow up, apply today!</div> 
 
Overview 
BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. 
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. 
BJC&rsquo;s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children&rsquo;s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country. 

 
Preferred Qualifications 
Role Purpose
The Patient Accounts Representative II serves as a subject matter expert in ensuring the timely review, collection and resolution of all payor and patient accounts. This position provides on-going analysis &amp; review of insurance verifications and account submissions. This position also helps facilitate the resolution of debit and credit accounts based on the information gathered from insurers, physicians, hospital personnel, governmental agencies and patients. Additionally, this position is responsible for training and mentoring junior level staff. 
Responsibilities<ul><li>
Serves as the subject matter expert in the area of insurance collection activities and billing resolution; resolves complex accounts and ensures their full resolution.</li><li>
Contacts insurance companies regarding complex claims, updates account information, and completes advanced administrative tasks on accounts.</li><li>
Completes necessary follow-up tasks in a timely manner while maintaining departmental quality and productivity standards.</li><li>
Confirms patient benefits with insurance carrier and re-files insurance claims as necessary to ensure timely and accurate payment.</li><li>
Works with assigned payors and assist in the communication of identified payor issues for remediation efforts.</li></ul>
Minimum Requirements
Education<ul><li>
High School Diploma or GED</li></ul>
Experience<ul><li>
&lt;2 years</li></ul>
Preferred Requirements
Experience<ul><li>
2-5 years</li></ul>
 
Benefits and Legal Statement 
BJC Total Rewards
At BJC we&rsquo;re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.<ul><li>
Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date</li><li>
Disability insurance* paid for by BJC</li><li>
Annual 4% BJC Automatic Retirement Contribution</li><li>
401(k) plan with BJC match</li><li>
Tuition Assistance available on first day</li><li>
BJC Institute for Learning and Development</li><li>
Health Care and Dependent Care Flexible Spending Accounts</li><li>
Paid Time Off benefit combines vacation, sick days, holidays and personal time</li><li>
Adoption assistance</li></ul>
To learn more, go to our Benefits Summary.<ul><li>Not all benefits apply to all jobs</li></ul>
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer</div>

Patient Accounts Rep II

Appleton Area Health

I. POSITIONa. The Patient Account Representative is responsible for managing patient billing accounts and ensuring accurate processing of charges, payments, insurance claims, and account balances. This role acts as a liaison between patients, insurance companies, and healthcare providers to resolve billing issues and ensure timely reimbursement.II. QUALIFICATIONSa. Education/Training:<ul><li>High school diploma or equivalent; supplemented with one year of patient service experience in a health care organization. Medical billing or coding courses are helpful.</li></ul>billing experience in a health care organization. Medical billing or medical coding courses helpful.b. Skill(s):<ul><li>Analytical&mdash;the individual synthesizes complex or diverse information.</li><li>Problem solving&mdash;the individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully</li><li>Oral communication&mdash;the individual speaks clearly and persuasively in positive or negative situations.</li><li>Quality management&mdash;the individual looks for ways to improve and promote quality and demonstrates accuracy and thoroughness.</li><li>Judgment&mdash;the individual displays willingness to make decisions, exhibits sound and accurate judgment and makes timely decisions.</li><li>Planning/organizing&mdash;the individual prioritizes and plans work activities, uses time efficiently and develops realistic action plans.</li><li>Safety and security&mdash;the individual actively promotes and personally observes safety and security procedures and uses equipment and materials properly.</li></ul>III. STANDARD REQUIREMENTSa. Supports the Mission, Vision and Standards of Behavior at Appleton Area Healthb. Is knowledgeable of patient rights and ensures an atmosphere which allows for the privacy, dignity, and well-being of all patients in a safe, secure environment.c. Supports and cooperates with specific procedures and programs for:<ul><li>Safety, including universal precautions and safe work practices, established fire/safety/disaster plans, risk management, and security, report and/or correct unsafe working conditions, equipment repair and maintenance needs.</li><li>Confidentiality of all data, including patient, employee, and operations data.</li><li>Quality assurance and compliance with all regulatory requirements.</li><li>Compliance with current law and policy to provide a work environment free from sexual/ harassment and all illegal and discriminatory behavior.</li></ul>d. Supports and participates in common teamwork:<ul><li>Cooperates and works together with all co-workers; plan and complete job duties with minimal supervisory direction including appropriate judgment.</li><li>Uses tactful, appropriate communications in sensitive and emotional situations.</li><li>Follows up as appropriate with supervisor, co-workers or patients regarding reported complaints, problems, and concerns.</li><li>Promotes positive public relations with patients, family members and guests.</li><li>Completes requirements for in-service training, acceptable attendance, uniform dress codes including personal hygiene, and other work duties as assigned.</li></ul>IV. ESSENTIAL FUNCTIONSa. Prepare monthly billings for Care Center, Assisted Living, and Meals on Wheels services.b. Meet with residents and family members upon admission to obtain accurate financial information.c. Verify patient insurance coverage and eligibility.d. Review and manage patient accounts to ensure accurate billing and payment processing.e. Process necessary insurance forms in an accurate, timely, and efficient manner.f. Investigate and resolve billing discrepancies and claim errors.g. Routinely review outstanding accounts by monitoring the accounts receivable aging.h. Respond to third party, patient, and all other inquiries in a timely manner.i. Prepare and disperse annual rate notices.j. All other duties as assigned by supervisor.Job Type: Full-timePay: $20.20 - $24.52 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Childcare</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Referral program</li><li>Vision insurance</li></ul>Schedule:<ul><li>8 hour shift</li><li>Monday to Friday</li></ul>Ability to Relocate:<ul><li>Appleton, MN 56208: Relocate before starting work (Required)</li></ul>Work Location: In person

Patient Accounts Representative - Long Term Care & Community Programs

UTHealth Houston

<div>What we do here changes the world. UTHealth Houston is Texas&rsquo; resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That&rsquo;s where you come in.
UTHealth Houston School of Dentistry &ndash; UT Dentists is hiring for a Patient Account Representative I to join their team of professionals in the Department of Clinical Business and Financial Services. The PAR will be responsible for the day-to-day role and duties in revenue cycle, including understanding dental and medical insurance policy benefit information, assisting with insurance claims follow-up, patient account balance, account transaction auditing and more. The ideal candidate will adhere to assigned metrics, and uphold the core values of our team while maintaining volume productivity. Experience with axiUm and/or EPIC is a plus!
Location: 7500 Cambridge, Houston, Texas 77054
Once you join us you won't want to leave. It&rsquo;s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you&rsquo;d expect from a top healthcare organization (benefits, insurance, etc.), plus:<ul><li>
100% paid medical premiums for our full-time employees</li><li>
Generous time off (holidays, preventative leave day, both vacation and sick time &ndash; all of which equates to around 37-38 days per year)</li><li>
The longer you stay, the more vacation you&rsquo;ll accrue!</li><li>
Longevity Pay (Monthly payments after two years of service)</li><li>
Build your future with our awesome retirement/pension plan!</li></ul>
We take care of our employees! As a world-renowned institution, our employees&rsquo; wellbeing is important to us. We offer work/life services such as...<ul><li>
Free financial and legal counseling</li><li>
Free mental health counseling services</li><li>
Gym membership discounts and access to wellness programs</li><li>
Other employee discounts including entertainment, car rentals, cell phones, etc.</li><li>
Resources for child and elder care</li><li>
Plus many more!</li></ul>
Position Summary:
Under general supervision, position is responsible for accurate and timely collection of third party and private pay receivables.
Position Key Accountabilities:<ul><li>
Reviews general accounts receivable incoming correspondence and takes timely and appropriate action.</li><li>
Analyzes account for errors, adjustment, credits, issuing corrected entries when required.</li><li>
Escalates complex issues.</li><li>
Updates account information.</li><li>
Documents communications accurately and completely and follows up as required.</li><li>
Performs other duties as assigned.</li></ul> 
Certification/Skills:<ul><li>
None</li></ul>
Minimum Education:
High School Diploma or equivalent required Graduate from a vocational business school with a minor in a job related field preferred
Minimum Experience:
6 months of hospital/medical collections experience with understanding of third party reimbursement procedures, as well as state and federal regulations governing healthcare required
Physical Requirements:
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive:
This position is a security-sensitive position pursuant to Texas Education Code &sect;51.215 and Texas Government Code &sect;411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code &sect;117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. &sect;791.4.
Residency Requirement:
Employees must permanently reside and work in the State of Texas.</div>

Patient Account Representative I - UT Dentists, Revenue Cycle Services

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 .
 
<ul>
<li>Ability to meet all job physical requirements as outlined in job description or as agreed through a work place accommodation</li>
</ul>
EDUCATION/TRAINING/ EXPERIENCE: 
<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>
CERTIFICATIONS/LICENSES: 
<ul>
<li>None.</li>
</ul>

Patient Account Representative

OCEANS HEALTHCARE

<div>The Collector is responsible for accurate and timely billing and collection of outstanding receivables from third party payers and payer representatives. Maintaining accurate account balances in accordance with contractual obligations, fee schedules, or regulations is required job duty. 

Essential Functions:
<div><ul><li>Reviews third party claims for accuracy and completeness using patient accounting functionality. Submitting claims to third party payers within timely filing restrictions.</li></ul>
<ul><li>Performs follow up activities by telephone or electronic inquiry on accounts with outstanding third party payer balance to determine status of claims in accordance with payer specific follow-up guidelines.</li></ul>
<ul><li>Attempts to expedite claim adjudication by resolving issues that may delay processing, involving the patient/guarantor as necessary.</li></ul>
<ul><li>Clearly and concisely documents pertinent follow up activity upon completion of each occurrence in patient accounting system.</li></ul>
<ul><li>Resubmits claims to payers as necessary - submitting secondary or tertiary plan claims as required.</li></ul>
<ul><li>Ensures accurate account balances for proper account processing and reporting, requesting contractual allowances, adjustments , and balance transfers as necessary.</li></ul>
<ul><li>Communicates with other revenue cycle staff members, Utilization Review/Case Management, and site leadership to ensure timely and accurate claims payments.</li></ul>
<ul><li>Researches and resolves credit balance accounts as requested by payers or as identified on aging reports.</li></ul>
<ul><li>Completes daily and weekly productivity/performance reporting as directed by management.</li></ul>
<ul><li>Performs other duties and projects as assigned.</li></ul>
</div>
Requirements
Educational / Experience Requirements:
<ul><li>High school diploma or equivalent as minimum requirement.</li>
<li>Previous experience with interpretation of insurance plan benefits, conditions of payment, and billing requirements.
</li><li>Previous customer service experience in a similar field, including employment as a call center worker, credit authorizer or customer service representative, is also beneficial. Due to the sensitivity and confidentiality of financial records, collectors are required to be in strict accordance with the rules regarding collection attempts regulated by the Federal Trade Commission (FTC).</li>
</ul>
Qualifications/Skills:
<ul><li>Experience in Microsoft Office products and general patient accounting systems.</li>
<li>Knowledge of third party payers, Medicare, Medicaid, and other payer requirements.</li>
<li>Effective communication abilities for phone contacts with insurance payers to resolve claim issues.</li>
<li>Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.</li>
<li>Able to work in a team environment.</li>
<li>Ability to function with minimal supervision and complete understanding and respect of confidentiality.</li>
<li>Follows policy and procedures that are in accordance with State and Federal Laws, JCAHO, HCFA and other regulatory boards as required by state and federal laws as well as the mission statement.</li>
</ul>
Work Environment:
Subject to many interruptions. Occasional pressure due to multiple calls and inquiries. This position can be high paced and stressful; must be able to cope mentally and physically to atmosphere. Work requires spending approximately 90% or more of the time inside a building that offers protection from weather conditions but not necessarily from temperature changes.</div>

Collections Specialist

FMOL Health

<div>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.</div>
 <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>
 <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

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