Patient Account Rep

Community Health Network•Indianapolis, IN

14h•Remote

About The Position

The Patient Account Representative is responsible for managing all aspects of accounts receivables to ensure maximum/timely reimbursement for services performed for hospital billing and claims. The patient account role will be responsible for keeping current on all payer specific regulations and procedures and will provide written summaries of findings and recommendations. This position is customer focused with emphasis on accounts receivable management. The Patient Account Representative is required to follow established guidelines, take action to recover delinquent accounts with the payers. Place calls to the payers to collect and assist in maintaining Network A/R days. Follow up maybe performed by way of payer websites when appropriate. This position will allow the flexibility to work from home upon completion of the initial training period.

Requirements

Two years or more years’ of experience in revenue cycle healthcare within a medium to larger healthcare system
Must be knowledgeable regarding payer billing guidelines
High School Diploma or GED required
Adheres to all network and departmental procedures and policies
Complies with applicable state/federal laws and the program requirements of accreditation agencies and federal, state and government health plans
Documents all actions taken on accounts in the system account notes to ensure all prior actions are noted and understandable by others
Ensures confidentiality of patient records

Responsibilities

Managing all aspects of accounts receivables to ensure maximum/timely reimbursement for services performed for hospital billing and claims.
Keeping current on all payer specific regulations and procedures and will provide written summaries of findings and recommendations.
Following established guidelines, take action to recover delinquent accounts with the payers.
Placing calls to the payers to collect and assist in maintaining Network A/R days.
Following appropriate steps to resolve denials within specified timeframe.
Following appropriate steps to resolve insurance correspondence scanned into mail queues.
Following billing and collection procedures as outlined in policies and provides payers with the appropriate and necessary information to adjudicate claim.
Maintaining A/R to meet Network set goals.
Meeting productivity standards designated by the department.
Meeting QA standards designated by the department.
Monitoring the billing and follow up holds at all sources, ensures timely resolution and is responsible for keeping assigned tasks current.
Participating in monthly conference calls with specific payers.