Account Representative Patient Accounts Full Time

Pine Rest Christian Mental Health Services•Grand Rapids, PR

About The Position

As an Account Representative at Pine Rest, you’ll be part of tight-knit team that believes in the healing power of your expertise and compassion. According to general directives and established departmental and or Pine Rest Christian Mental Health Services policies and procedures, independently performs administrative duties related to billing, collection, accounts payable, accounting, and customer assistance. Our Account Representatives are dedicated to excellent customer service, enthusiastic about the care we offer, and foster a sense of belonging and empowerment in a diverse workplace.

Requirements

Work requires the ability to read, understand and follow directions, and do computations at a level typically acquired in high school or equivalent.
An Associate Degree or equivalent knowledge, skills, and abilities may be required.
Requires minimum experience of three months in related field.
Experience with general ledger functions and the month-end/year-end close process

Responsibilities

Input data, monitor and run reports, process checks, balance information, verify information, file, sort, and send bills.
Submit claims to payers assuring claims meet the clean claim definition to assure timely and accurate payment.
Contact insurance companies to obtain preauthorization (in some departments), resolve outstanding balances, incorrect payments, claim denials or information needed to adjudicate claims.
Work with clinical areas to resolve rejections and determine collectability or need for adjustment.
Process payment/claim resolution documents, making determinations on balances based on contractual arrangements and insurance coverage.
Apply insurance and patient payments to accounts, monitoring for compliance with contractual agreements to assure appropriate reimbursement for services provided.
Prepare and balance bank deposits.
Answer patient questions regarding balances, make referrals to other areas as appropriate, i.e. clinical area, Patient Rights, etc.
Create and maintain customer-friendly environment with internal and external customers.
Establish payment arrangements within established guidelines.
Review accounts to determine patient delinquency and initiate collection steps or refer to collection agency.
Coordinate accounts and balances with collection agency.

Benefits

Medical, dental, vision & life insurance plans
403(b) retirement match contribution by Pine Rest
Generous PTO for full and part time employees
Tuition assistance & loan forgiveness
Employee Assistance Program offering many free and discounted services for therapy, legal, accounting, gym membership, etc.
Partnership with Davenport University provides generous discount on tuition for employees and family members.

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