Facility - Patient Account Representative

Acadia Healthcare • Williamsburg, PA

77d

About The Position

We are seeking a detail-oriented individual who enjoys working with numbers and the challenge of multitasking. This is a daylight, Monday through Friday position.

Requirements

• High school diploma or equivalent required.
• Three or more years' prior admissions and or collections experience in a hospital setting required.

Nice To Haves

• Psychiatric experience preferred.

Responsibilities

• Call and status outstanding claims with third party payors.
• Review claims issues and make corrections as needed and rebill.
• Utilize claims clearing house to review and correct claims.
• Resubmit electronically when available.
• Review explanation of benefits to ascertain that claim processed and paid correctly.
• Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
• Manage daily productivity via patient accounting system and productivity reports.
• Maintain an average of 30-40 accounts worked per day minimum.
• Prorate patient accounts and monitor that balance due is in the correct financial class.
• Report an overview of the week to the BOD and participate in AR meetings.
• Gather and interpret data from system and understand appropriate course of action to take and initiate time-sensitive and strategic steps resulting in payment.
• Assist financial counselors as needed.
• Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.
• Use the State's system (COMPASS) to apply for PA MA.
• Use PROMISE to check the status and client's MA.
• Do Insurance Benefit verification.
• Collect copays and deductibles.
• Must have working knowledge of all Microsoft products.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED