PATIENT ACCOUNT REPRESENTATIVE - Union General Health System/FT

Union General Hospital•Blairsville, GA

About The Position

Under direct supervision of the Patient Accounting Supervisor, the role of the Patient Account Representative is to provide assistance and general support to the Central Business Office. This includes complete patient account representation from the data entry of payments and adjustment through handling of billing inquiries, in person and via the phone. To be successful as a patient account representative, you should be detail-oriented and knowledgeable of medical terminology and billing. Ultimately, an outstanding patient account representative should demonstrate exceptional communication and customer service skills.

Requirements

High School Diploma or GED equivalent is required.
Minimum 1-year experience in Healthcare Billing, Accounts Receivable
Knowledge of Federal / State regulations / guidelines, commercial insurance billing requirements, payer contract language, healthcare terminology, and abbreviations
Solid working knowledge of the healthcare industry and experience in health care technology.
Proficient in Microsoft Office.
Ability to work effectively and relate well to patients, clients, colleagues, and individuals inside and outside Union General Health System.
Ability to work in a fast-paced environment with demonstrated ability to prioritize multiple, competing tasks and demands, and to seek supervisory assistance as appropriate.
Ability to work independently
Highly dependable in both production and attendance
Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions.
Excellent written and verbal communication to clearly document issues and effectively communicate.
Strong emotional intelligence, interpersonal and teamwork skills
Ability to exercises tact, discretion, sensitivity and maintains confidentiality
Exceptional organization, problem solving, and time management skills with an attention to detail

Nice To Haves

Some college course work is preferred
Demonstrated leadership skills and ability to gain cooperation and support from a diverse body of individuals

Responsibilities

Research and problem solve patient account issues
Audit and resolve discrepancies on patient accounts
Analyze bankrupt or deceased patient accounts
Identify and correct posting errors
Post patient and insurance payments / adjustments
Update patient demographic, financial and payer information
Manage incoming phone calls
Analyze credit balances
Process patient refunds
Manage incoming / outgoing mail
File claims on estates of deceased patients, process bankruptcy and charity adjustments as needed.
Manages customer/client interactions in a professional manner; responds promptly to requests for service and assistance and meets those commitments.
Manage billing inquiries from patients, in person and via the phone
Explain account transactions: insurance benefits, adjustments, patient cost share / deductibles
Collect / post patient payments
Establish patient payment plans
Provides assistance to CBO venders with account questions or problems related to patient or third party payments, rejections, adjustments, collections, or financial status.
Assist in preparing files, paper or electronically to be sent to outside vendors doing business on behalf of the hospital for the recovery of account receivable funds, including assistance with Collection Agency inquiries.
Serve as contact for early out / collection venders to problem solve patient account issue.