Associate Patient Access Rep- South

Community Health Network • Indianapolis, IN

1d

About The Position

The Patient Account Representative manages accounts receivable to support maximum and timely reimbursement for hospital services and claims. The role focuses on customer service and accounts receivable management, keeping current on payer-specific regulations and procedures, and providing written summaries of findings and recommendations. The representative follows established guidelines, takes action to recover delinquent payer accounts, and contacts payers to collect and help maintain Network accounts-receivable days. Follow-up may be conducted through payer websites when appropriate. The position allows work from home after completion of the initial training period.

Requirements

• Two or more years of revenue cycle healthcare experience within a medium- to larger-sized healthcare system.
• Knowledge of payer billing guidelines.
• High school diploma or GED.
• Adherence to network and departmental procedures and policies.
• Compliance with applicable laws and program requirements.
• Ability to document account actions clearly and maintain patient-record confidentiality.

Responsibilities

• Manage accounts receivable to support maximum and timely reimbursement for hospital services and claims.
• Stay current on payer-specific regulations and procedures and provide written summaries of findings and recommendations.
• Follow established guidelines and take action to recover delinquent accounts with payers.
• Call payers to collect and help maintain Network accounts-receivable days; use payer websites for follow-up when appropriate.
• Follow network and departmental procedures and policies.
• Comply with applicable state and federal laws and accreditation-agency and government health-plan program requirements.
• Document account actions in system notes so previous actions are understandable to others.
• Maintain the confidentiality of patient records.
• Resolve denials within specified timeframes and follow appropriate steps to resolve insurance correspondence scanned into mail queues.
• Follow billing and collection procedures and provide payers with information needed to adjudicate claims.
• Maintain accounts receivable to meet Network goals and meet departmental productivity and quality-assurance standards.
• Monitor billing and follow-up holds across all sources, ensure timely resolution, and keep assigned tasks current.
• Participate in monthly conference calls with specific payers.

Benefits

• Work-from-home flexibility after completion of the initial training period.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED