Patient Account Rep

Community Health Network•Indianapolis, IN

About The Position

The Patient Account Representative manages accounts receivable to support maximum and timely reimbursement for hospital billing and claims. The role focuses on customer service and accounts receivable management, including keeping current on payer-specific regulations and procedures, preparing written summaries of findings and recommendations, and taking action to recover delinquent payer accounts. Follow-up may be conducted by phone or, when appropriate, through payer websites. The position supports maintaining Network accounts-receivable days and meeting departmental productivity, quality-assurance, and accounts-receivable goals. Work-from-home flexibility is available after completion of the initial training period.

Requirements

At least two years of revenue-cycle healthcare experience within a medium-to-large healthcare system.
Knowledge of payer billing guidelines.
High school diploma or GED.
Adherence to network and departmental procedures and policies.
Compliance with applicable state and federal laws and accreditation-agency and government health-plan program requirements.
Ability to meet departmental productivity and QA standards.

Responsibilities

Manage accounts receivable for hospital billing and claims to support maximum and timely reimbursement.
Keep current on payer-specific regulations and procedures and provide written summaries of findings and recommendations.
Follow established guidelines and take action to recover delinquent accounts from payers.
Call payers to collect and help maintain Network accounts-receivable days; use payer websites for follow-up when appropriate.
Document actions taken on accounts in system account notes so prior actions are recorded and understandable to others.
Protect the confidentiality of patient records.
Follow appropriate steps to resolve denials within specified timeframes.
Resolve insurance correspondence scanned into mail queues using appropriate steps.
Follow billing and collection procedures and provide payers with necessary information to adjudicate claims.
Maintain accounts receivable to meet Network goals and meet departmental productivity and QA standards.
Monitor billing and follow-up holds at all sources, ensure timely resolution, and keep assigned tasks current.
Participate in monthly conference calls with specific payers.
Adhere to network and departmental procedures and policies, and comply with applicable laws and program requirements of accreditation agencies and government health plans.