Patient Account Representative

Geisinger Behavioral Health Center Northeast • Moosic, PA

10d • Remote

About The Position

Responsible for managing patient billing, insurance claims, and account resolution to ensure accurate and timely reimbursement.

Requirements

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

Nice To Haves

• 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. Needs to 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 understands appropriate course of action to take and initiates 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.
• Data Entry of all payments and account adjustments in a timely and accurate manner.
• Reconciliation of cash log each week at a minimum.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED