senior patient account representative

Northwell Health

<div>Job Description

Monitors the activities and performance of physician practices to ensure that billing related functions are performed in an efficient manner consistent with department policies and procedures.

Job Responsibility

<ul><li>Interfaces with physicians and administrators to ensure financial growth and stability; apprises physicians of new and revised procedures.</li>
<li>Monitors accuracy of fee structure and reimbursement payment schedules from third party payers, all cash payment deposits and refunds.</li>
<li>Acts as resource person for resolution of complex billing situations.</li>
<li>Guides billing/clerical staff regarding billing and office/clerical functions.</li>
<li>Coordinates clinical documentation requests to business office to ensure timely appeals.</li>
<li>Develops and implements policies and procedures to facilitate billing and maximize case collections.</li>
<li>Reviews and recommends improvements for financial management of each billing area.</li>
<li>Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.</li>
</ul>
Job Qualification
<ul>
<li>Associate's Degree required, or equivalent combination of education and related experience.</li>
<li>3-5 years of relevant experience, required.</li>
<li>CPC, preferred
Role is located in bariatric surgery office, within Syosset Hospital.
Work hours: M, W, Th - 8am-4pm
Tues - 8am-6pm
Fri - 8am-2pm</li></ul> 
<div> 
<ul><li>Additional Salary Detail
</li></ul>The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).</div></div>

Senior Patient Account Representative

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

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

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

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

Texas Oncology

<div>Overview:<div></div><div> 
The US Oncology Network is looking for a Patient Benefits Representative to join our team at Texas Oncology. This full-time position will support the Revenue Cycle Department at our 3010 Harrison Avenue clinic in Beaumont, Texas with some travel. Typical work week is Monday through Friday, 8:30a - 5:00p.</div><div></div> 
This position will be a level 1or Sr depending on relevant candidate experience.<div> 
As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today&mdash;at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve &ldquo;More breakthroughs. More victories.&rdquo; &reg; in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.</div><div></div><div> 
The US Oncology Network is one of the nation&rsquo;s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.</div><div></div> 
What does the Patient Benefits Representative do? (including, but not limited to):
The Patient Benefits Representative, under general supervision is responsible for educating patient on insurance coverage and benefits. Assess patients financial ability; may educate patient on assistance programs. Updates and maintains existing patient new insurance eligibility, coverage, and benefits in system. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology&rsquo;s Shared Values.
Responsibilities:

The essential duties and responsibilities (including, but not limited to):<ul><li>
Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
</li><li>Assess patients ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms. Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form.
</li><li>Completes appropriate reimbursement and liability forms for patient&rsquo;s review and signature. Forwards appropriate information and forms to billing office.</li><li>
Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.</li><li>
Review patient account balance and notify front desk of patients to meet with</li><li>
Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately</li><li>
At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs).
</li><li>Stays current on available financial aide. Develops professional relationships with financial aide providers. Networks with financial aide providers to obtain leads to other aide programs.</li><li>
Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records.
</li><li>Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested.
</li><li>Other duties as requested or assigned.</li></ul>
Qualifications:

The ideal candidate for the Patient Benefits Representative will have the following background and experience:
 Level 1<ul><li>
High school diploma or equivalent required.
</li><li>Minimum three (3) years patient pre-services coordinator or equivalent required.
</li><li>Proficiency with computer systems and Microsoft Office (Word and Excel) required.
</li><li>Demonstrate knowledge of CPT coding and HCPS coding application.</li><li>
Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.</li><li>
Must successfully complete required e-learning courses within 90 days of occupying position.</li></ul>
Level Sr (in addition to level 1 requirements)<ul><li>
Associates degree in Finance, Business or four years revenue cycle experience preferred.
</li><li>Minimum three (3) years pre-services coordinator experience and two (2) years of patient benefits experience required.
</li><li>Must be able to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology.</li></ul> 
Competencies:<ul><li>
Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded a san expert in the technical/functional area; accesses and uses other expert resources when appropriate.</li><li>
Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience inn the face of constraints, frustrations, or adversity; demonstrates flexibility.</li><li>
Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.</li><li>
Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.</li><li>
Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.</li></ul>
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range. 
Work Environment:<div>
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.</div></div>

Patient Benefits Representative Sr

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Senior Patient Account Representative

Patient Access Representative Senior - Admitting

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Patient Account Representative 2 - Hospital

Patient Accounts Representative - Long Term Care & Community Programs

Patient Accounts Rep II

Patient Benefits Representative Sr