senior patient account representative

CHRISTUS Health

<div><b>Description</b><p><br>
Summary:</p>
<p>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.</p>
<p>Responsibilities:</p><br>
<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>
<p>Job Requirements:</p><br>
<p><b>Education/Skills</b></p>
<ul><li>High School Diploma or equivalent experience preferred</li></ul>
<p><b>Experience</b></p>
<ul><li>3-5 years of experience preferred</li></ul>
<p><b>Licenses, Registrations, or Certifications</b>
</p><ul><li>None required</li></ul><br>
<p></p>
<p>Work Schedule:</p><br>
<p>4 Days - 10 Hours</p>
<p>Work Type:</p><br>
<p>Full Time</p></div>

Patient Access Representative Senior - Admitting

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

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

BJC HealthCare

<div><p>Come join our team as a full-time Senior Patient Service Representative with <b><i>BJC Medical Group in Belleville, Illinois</i></b>, this is a rare opportunity to join a great team!</p><ul><li>
Preferred Medical Office Experience</li><li>
40-Hours per week</li><li>
Day Shift</li><li>
Benefit Eligible</li><li>
NO CALL, NO WEEKENDS, NO HOLIDAYS</li></ul>
<br>
<b>Overview</b><p></p><p><b><br>
BJC Medical Group</b> is the multi-specialty physician organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with the top-ranked hospitals in the area.</p><p></p><p><br>
Since 1994, BJC Medical Group has provided access to the world&rsquo;s best medicine through caring people and integrated systems. The providers are nationally recognized for excellent patient satisfaction and quality health care.</p><p></p><p><br>
BJC Medical Group physicians are trained and certified in over 25 medical specialties and serve patients in more than 125 locations in the greater St. Louis, mid-Missouri and southern Illinois areas.</p><br>
<p></p>
<br>
<b>Preferred Qualifications</b><p><b><br>
Role Purpose</b></p><p>
The Senior Patient Service Representative functions as a subject matter expert on administrative tasks supporting the physician office. This position maintains a strong knowledge of and trains new and/or junior level team members on work processes. This position also serves as a point of escalation on complex work situations.</p><p></p><p><b><br>
Responsibilities</b></p><ul><li>
Handles telephone calls from patients and staff; forwards calls requiring triage.</li><li>
Performs receptionist duties with close attention to detail and professionalism.</li><li>
Verifies health insurance payment information and educates patients on the applicable regulations; collects payments and records data.</li><li>
Performs data entry of service charges, to include the assignment of diagnostic codes and the entering of all physician and clinic related charges.</li><li>
Coordinates information with Central Billing Office to ensure all charges are captured and properly collected.</li><li>
Serves as a subject matter expert; answers general and technical questions from other staff members; helps make decisions and resolve complex issues.</li><li>
Provides training and support to both new &amp; existing staff.</li><li>
BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.</li></ul><p><b>
Minimum Requirements</b></p><p><b>
Education</b></p><ul><li>
High School Diploma or GED</li></ul><p><b>
Experience</b></p><ul><li>
2-5 years</li></ul><p><b>
Preferred Requirements</b></p><p><b>
Experience</b></p><ul><li>
5-10 years</li></ul>
<br>
<b>Benefits and Legal Statement</b><p><b><br>
BJC Total Rewards</b></p><p>
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.</p><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></div><p></p>

Senior Patient Service Representative Pulmonary/Sleep

Appleton Area Health

<p>I. POSITION</p><p>a. 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.</p><p>II. QUALIFICATIONS</p><p>a. Education/Training:</p><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><p>billing experience in a health care organization. Medical billing or medical coding courses helpful.</p><p>b. Skill(s):</p><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><p>III. STANDARD REQUIREMENTS</p><p>a. Supports the Mission, Vision and Standards of Behavior at Appleton Area Health</p><p>b. 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.</p><p>c. Supports and cooperates with specific procedures and programs for:</p><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><p>d. Supports and participates in common teamwork:</p><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><p>IV. ESSENTIAL FUNCTIONS</p><p>a. Prepare monthly billings for Care Center, Assisted Living, and Meals on Wheels services.</p><p>b. Meet with residents and family members upon admission to obtain accurate financial information.</p><p>c. Verify patient insurance coverage and eligibility.</p><p>d. Review and manage patient accounts to ensure accurate billing and payment processing.</p><p>e. Process necessary insurance forms in an accurate, timely, and efficient manner.</p><p>f. Investigate and resolve billing discrepancies and claim errors.</p><p>g. Routinely review outstanding accounts by monitoring the accounts receivable aging.</p><p>h. Respond to third party, patient, and all other inquiries in a timely manner.</p><p>i. Prepare and disperse annual rate notices.</p><p>j. All other duties as assigned by supervisor.</p><p>Job Type: Full-time</p><p>Pay: $20.20 - $24.52 per hour</p><p>Benefits:</p><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><p>Schedule:</p><ul><li>8 hour shift</li><li>Monday to Friday</li></ul><p>Ability to Relocate:</p><ul><li>Appleton, MN 56208: Relocate before starting work (Required)</li></ul><p>Work Location: In person</p>

Patient Accounts Representative - Long Term Care & Community Programs

<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><br>
<br>
<b>Overview</b><p></p><p><b><br>
BJC HealthCare </b>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.</p><p></p><p><br>
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.</p><p></p><p><br>
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.</p><br>
<p></p>
<br>
<b>Preferred Qualifications</b><p><b><br>
Role Purpose</b></p><p>
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.</p><p></p><p><b><br>
Responsibilities</b></p><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><p><b>
Minimum Requirements</b></p><p><b>
Education</b></p><ul><li>
High School Diploma or GED</li></ul><p><b>
Experience</b></p><ul><li>
&lt;2 years</li></ul><p><b>
Preferred Requirements</b></p><p><b>
Experience</b></p><ul><li>
2-5 years</li></ul>
<br>
<b>Benefits and Legal Statement</b><p><b><br>
BJC Total Rewards</b></p><p>
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.</p><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><p><b>
To learn more, go to our </b><b>Benefits Summary</b><b>.</b></p><ul><li>Not all benefits apply to all jobs</li></ul><p>
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</p></div>

Patient Accounts Rep II

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Patient Access Representative Senior - Admitting

PATIENT ACCOUNT REPRESENTATIVE

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Patient Account Representative 2 - Hospital

Senior Patient Service Representative Pulmonary/Sleep

Patient Accounts Representative - Long Term Care & Community Programs

Patient Accounts Rep II