Patient Account Representative

Acadia External•Valdosta, GA

About The Position

Under general supervision of the Business Office Director, the Patient Account Representative administers a collections program for the collection of patient’s accounts receivable; meets with patients daily to discuss financial obligation and will provide patient account services to include verifying patient insurance benefits/eligibility, create financial charts, obtain required patient signatures and collect any due patient charges; manages the computerization of collection systems; performs related duties as required . Work standards will be in accordance with facility policies and procedures, JCAHO, Federal and State regulations, Greenleaf Center’s mission, and performance improvement standards. PERFORMANCE STANDARDS 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. Other duties as assigned DEMONSTRATES PROFESSIONALISM , moral, ethical behavior and work values.

Requirements

High school diploma or equivalent required.
Three or more years’ prior admissions and or collections experience in a hospital setting required.
Advanced knowledge of delinquent account collection methods
Knowledge of accounts receivable and revenue accounting principles
Ability to communicate effectively orally and in writing.

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.
Other duties as assigned