Patient Account Rep

Community Health Network•Indianapolis, IN

51d•Hybrid

About The Position

Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you. 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. At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.

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

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 up maybe performed by way of payer websites when appropriate
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
adhering to all network and departmental procedures and policies
complying with applicable state/federal laws and the program requirements of accreditation agencies and federal, state and government health plans
documenting all actions taken on accounts in the system account notes to ensure all prior actions are noted and understandable by others
ensuring confidentiality of patient records
following appropriate steps to resolve denials within specified timeframe
following appropriate steps to resolve insurance correspondence scanned into mail queues