Patient Account Representative

DCH Health Care Authority•Tuscaloosa, AL

10d•Onsite

About The Position

Responsible for managing and performing efficient and effective accounts receivable functions for DCH Regional Medical Center, Northport Medical Center, Fayette Medical Center, DCH Home Health, and Home Medical Equipment. The role reviews and corrects assigned claims in error, hold, or rejected status in a timely and accurate manner and works to meet individual and departmental goals for discharged-not-final-bill-submitted claims, accounts receivable days and aging, cash collections, and other assigned goals. The position requires daily billing and follow-up work using Meditech, Optum, and other Patient Accounts Department software. It involves coordinating with other DCH departments and maintaining professional, positive customer service interactions. The representative also contributes process-improvement recommendations, completes training or certifications as requested, follows DCH policies and compliance requirements, and performs work in a way that supports patient, visitor, and employee safety. This is an onsite role in an indoor cubicle environment. Work includes extensive desktop use, repetitive data-entry and paper-handling tasks, and sitting for extended periods. The position requires maintaining patient confidentiality and being able to perform the duties with or without reasonable accommodation.

Requirements

High school education or equivalent is required.
Proficient personal computer skills.
Very good interpersonal and communication skills.
Customer service skills and a history of good attendance.
Ability to read, write legibly, speak, and comprehend English.
Ability to maintain patient confidentiality.
Must be reliable, responsible, dependable, detail-oriented, and thorough in completing work tasks.
Must be results-oriented and able to work independently with little or no supervision, as well as work well with others.
Must be able to perform the duties with or without reasonable accommodation.
Hearing and vision must be normal or corrected to within normal range.
Physical presence onsite is essential.
Able to sit for extended periods, use fingers for data entry, and lift boxes up to 20 pounds; the listed physical demand classification is light work.
Able to understand and communicate spoken and written information, recognize when something is wrong, concentrate and shift between tasks, and make fast, repeated finger, hand, and wrist movements.

Nice To Haves

One year or more of related experience in a healthcare business office.
Knowledge of insurance types related to claims billing and follow-up, including governmental, HMO, PPO, and commercial insurance.
Knowledge of federal, state, hospital, and departmental rules and regulations for compliant healthcare claims filing and reimbursement.

Responsibilities

Bill assigned primary, secondary, tertiary, and other claims daily using Meditech, Optum, and other departmental software.
Research and work assigned claims in error, rejected, or hold status.
Meet individual and departmental productivity goals, including final-billed-not-submitted claims, accounts receivable days, cash collections, accounts receivable aging, and other assigned goals.
Coordinate with DCH departments such as Patient Access, Case Management, and Medical Records to support efficient, compliant processes and accurate revenue collection.
Maintain professionalism and provide a positive customer service experience during interactions.
Make lean recommendations to improve processes.
Attend required training sessions and complete certifications requested by management.
Maintain performance, patient and employee satisfaction, and financial standards outlined in the performance evaluation.
Follow Employee Handbook compliance requirements, DCH Behavioral Standards, and DCH Health System policies and procedures.
Perform essential duties in a manner that supports safety, and identify and take appropriate action to reduce unsafe practices, risks, and hazards.
Use electronic mail, time and attendance software, learning management software, and the intranet as required.
Perform other duties as assigned.