patient accounts representative

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

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

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

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

CHRISTUS Health

<div>Description 
Summary:
The Patient Access Representative Senior performs duties relating to financial aspects of patient care, including financial counseling, billing and collection of accounts. Additionally, the job duties will include ensuring the hospital maintains compliance with Federal regulations, JCAHO, and Department of Health and Hospital compliance standards, along with communicating directly with patients and families, physicians, nurses, insurance companies and third party payers. The Patient Access Representative Senior also handles difficult patient account management issues escalated by other staff, and assists managers with various other duties as necessary.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.</li><li>
Submits insurance claims to third party payors electronically and on paper. Follows up on unpaid third party claims to resolution (payment or denial).</li><li>
Evaluates and processes accounts for adjustments, charity, outside assistance or bad debt. Analyzes accounts to ensure full reimbursement and to satisfy patient and/or insurance company inquiries.</li><li>
Collects balances due from patients using phone calls, personal contact, statements, letters or third party services.</li><li>
Receives, processes and responds to correspondence or phone inquiries from patients, guarantors, insurance companies, attorneys, etc.</li><li>
Compiles data, tracks results and reports to management.</li><li>
May be assigned specialty responsibilities in the areas of refunds, reconciliation, balancing and/or posting and in data collection and analysis.</li><li>
Handles difficult patient account management issues referred by other staff.</li><li>
Supports the department in achieving established performance targets.</li><li>
Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.</li><li>
Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.</li><li>
Assists managers with various duties including, but not limited to, review of write-offs, adjustments, refunds and discounts; coordinating work group activities; and training of other staff.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>High School Diploma or equivalent experience preferred</li></ul>
Experience
<ul><li>3-5 years of experience preferred</li></ul>
Licenses, Registrations, or Certifications
<ul><li>None required</li></ul> 

Work Schedule: 
4 Days - 10 Hours
Work Type: 
Full Time</div>

Patient Access Representative Senior - Admitting

Southwoods Health

<div><div>Billing Customer Service Representative 
Location: Southwoods Executive Centre &ndash; Boardman, OH 
Schedule: Full-Time, Monday&ndash;Friday 
Shift: Weekly rotation (8:00am&ndash;4:30pm and 8:30am&ndash;5:00pm) 
 
 
Be the Voice of Southwoods Health 
At Southwoods Health, we believe the patient experience extends beyond the exam room. As a Billing Customer Service Representative, you are the primary point of contact for our patients&rsquo; financial inquiries. We are looking for a compassionate, professional, and detail-oriented individual who can provide clear solutions while maintaining our high standard of &quot;patient-first&quot; care. 
If you have a knack for problem-solving and a passion for helping others navigate the financial side of healthcare, you&rsquo;ll fit right in. 
 
 
How You&rsquo;ll Make a Difference:</div>
<ul><li>Patient Advocacy: Act as the first point of contact for all incoming billing calls, providing courteous and timely resolutions to patient inquiries.</li>
<li>Financial Guidance: Educate patients on financial assistance opportunities, assist in establishing payment plans, and negotiate settlements in accordance with facility policy.</li>
<li>Account Management: Proactively manage worklists, monitor delinquent accounts, and coordinate the review and submission of accounts to collections when necessary.</li>
<li>HCAP Coordination: Analyze financial assistance applications (HCAP) based on Federal Poverty Guidelines, maintain meticulous logs for auditors, and ensure all supporting documentation meets retention requirements.</li>
<li>Documentation &amp; Integrity: Update patient records within the system to ensure a clear documentation trail and maintain 100% compliance with regulatory agency standards.</li></ul> 
<div> 
 
What You&rsquo;ll Need to Succeed:</div>
<ul><li>Foundational Knowledge: Training or coursework in business office activities and computer skills. Familiarity with medical terminology is required.</li>
<li>Expert Communication: The ability to handle complex financial conversations with empathy, de-escalation skills, and a professional demeanor.</li>
<li>Analytical Thinking: Strong problem-solving skills with the ability to use prudent judgment and reason to resolve account discrepancies.</li>
<li>Integrity: Strong ethical and moral principles, with a commitment to maintaining patient confidentiality and 100% patient satisfaction.</li></ul> 
<div> 
 
Why Southwoods? 
Join a healthcare system that values your contribution to the revenue cycle and patient experience. We offer a professional, stable work environment at our Southwoods Executive Centre with a consistent Monday&ndash;Friday schedule. 
 
 
At Southwoods, it's not just about the treatment, but how you're treated. #SWH 
www.southwoodshealth.com</div></div>

Billing Customer Service Representative

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10000 patient accounts representative jobs Near Me

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