Part-Time Patient Account Representative

RiverWoods Behavioral Health • Riverdale, GA

4d

About The Position

This is a part-time role for a Patient Account Representative. The position involves managing outstanding claims, reviewing and correcting claim issues, utilizing claims clearing house for resubmission, and analyzing Explanation of Benefits (EOBs) to ensure accurate payment. The role also requires completing adjustment forms, managing daily productivity, prorating patient accounts, reporting weekly to the BOD, interpreting system data for payment strategies, and assisting financial counselors. Additionally, the representative will alert Financial Counselors and the Business Office Director about benefit eligibility matters that could impact 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.

What This Job Offers

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