Patient Account Representative

Covington Behavioral Health • Covington, LA

88d

About The Position

Covington Behavioral Health is a 104-bed hospital seeking a dedicated individual to manage and oversee the accounts receivable process. The role involves handling outstanding claims with third-party payors, reviewing claims issues, and making necessary corrections to ensure timely reimbursement. The successful candidate will utilize a claims clearing house to review and correct claims, resubmit electronically when possible, and analyze explanations of benefits to confirm that claims are processed and paid correctly. Additionally, the position requires managing daily productivity through the patient accounting system, maintaining an average of 30-40 accounts worked per day, and reporting weekly overviews to the Board of Directors while participating in accounts receivable meetings. The candidate will also gather and interpret data from the system to initiate strategic actions for payment and assist financial counselors as needed, while alerting them and the Business Office Director of any benefit eligibility matters that may affect reimbursement.

Requirements

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED