Patient Account Representative - Collector

UHS•Bartlett, TN

2d•Onsite

About The Position

The Patient Account Representative - Collector is responsible for completing third-party follow-up on outstanding insurance claims by contacting payers to determine claim status and secure payment resolution. This role involves providing insurance verification on patient accounts to confirm eligibility and benefits. The representative will also resolve coding and billing issues by reviewing Explanation of Benefits (EOBs), identifying errors, and correcting discrepancies as needed. Problem accounts are to be escalated to the department management team for additional review, assistance, and resolution. Additionally, the role requires following up with payers regarding hospital claim appeals to ensure timely review and outcome tracking.

Requirements

Associates Degree in Accounting, Finance or Business preferred, High school diploma or GED required.
Two years of healthcare reimbursement and third-party billing experience.
Knowledge of all accounting applications and third-party reimbursement regulations.
Ability to read and interpret Explanation of Benefits (EOBs).
Demonstrate an understanding of overpayments and recoupments.
Elevated level of interpersonal skills.
Position continually requires demonstrated poise, professionalism, tact, and diplomacy.
Excellent verbal and written communication skills required.
Experience in collections from third party payers and financial counseling to potential clients.
Exhibits excellent customer relation skills as evidenced by supportive and constructive communication with all contacts including coworkers, patients, residents, visitors, families, and referral sources.
Must be knowledgeable of and abide by HIPAA regulations with regard to protected health information as defined by HIPAA and facility.
Uses and / or discloses on a daily basis verbal, written and / or electronic PHI in order to perform job duties, as pertains to (CLIENTS’ FINANCIAL, DEMOGRAPHIC, AND / OR CLINICAL DATA) and / or (EMPLOYEES’ FINANCAL, DEMOGRAPHIC, AND / OR CLINICAL DATA).
Follows and abides by Company policies, procedures, and Corporate Compliance Program, as applicable to role and responsibilities.

Responsibilities

Complete third-party follow-up on outstanding insurance claims by contacting payers to determine claim status and secure payment resolution.
Provide insurance verification on patient accounts to confirm eligibility and benefits.
Resolve coding and billing issues by reviewing Explanation of Benefits (EOBs), identifying errors, and correcting discrepancies as needed.
Escalate problem accounts to the department management team for additional review, assistance, and resolution.
Follow up with payers regarding hospital claim appeals to ensure timely review and outcome tracking.