Patient Account Rep II (26630)

Nacogdoches County Hospital District • Nacogdoches, TX

5d • Onsite

About The Position

Prepares all Hospital insurance claims following designated procedures established by each third party payer, i.e. commercial group, Blue Cross, Medicare, Medicaid, Workman's Compensation, Champus or private insurance. Responsible for systematic follow-up of insurance accounts from date insurance claims are billed to receipt of payments, conducts routine reviews to update patient's accounts to correct financial status. Serves as a source of assistance to patients who need help in preparing and submitting claims for personal reimbursement for accounts paid in full. Responsible for collection of personal portion of patient’s charges for Hospital services in accordance with all State and Federal laws governing collection practices. Accurately posts cash transactions and maintain accurate Charge Master files. Correctly identifies and posts adjustments. Handles return checks in accordance with Hospital policy. Assists patients in the settlement of their account. Accurately researches accounts for credit balances prior to issuing a refund. Accurately maintains logs and reports as directed by the management.

Requirements

• Must be able to read, write, and communicate effectively in English required.
• Knowledge of insurance claims/reimbursement procedures commercial, private, and governmental insurance programs.

Nice To Haves

• One year hospital insurance/billing/collections preferred.

Responsibilities

• Bill patient’s third party claims
• Must work at least fifty (50) claims per day
• 100% accuracy
• Claims are mailed the same day they are received
• Late charges are billed within forty-eight (48) hours of receipt
• Answer incoming calls and correspondence concerning insurance billing and initiate calls and correspondence when additional information is required to bill patient's insurance
• Responds to written inquiries within forty-eight (48) hours of receipt
• 100% effectiveness of telephone skills
• Contact insurance companies and patients to secure payments
• Make at least fifty (50) attempted contacts per day
• Complete documentation to ensure timeliness of follow-up calls
• Use of lawful, professional and effective follow-up techniques to secure prompt payment
• Research and recommend appropriate adjustments for supervisor's approval
• Compute accurately all accounts requiring a discount on a daily basis and prepare proper discount forms

Benefits

• Generous benefit plans that start the 1st of the month following your start date
• High Reliability Organization
• How we treat people in our organization, we are truly committed to patient safety and to our employees
• Additional options for dental, vision, life, and disability coverage.
• Retirement Plan-457(b)
• Hospital paid Life Insurance
• Employee Assistance Program
• Employee Discount at our onsite Starbucks, Café, and Gift Shop
• ATM onsite
• Fresh Vending
• Free on-site parking
• Colleague recognition program
• Time Away From Work Program (paid time off)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed