Patient Account Representative

Acadia•Columbia, MO

7d•Onsite

About The Position

Love solving puzzles, staying organized, and making things happen? Join the team at CenterPointe Hospital of Columbia and play a key role in helping patients access the care they need by ensuring insurance claims are resolved quickly and accurately. In this role, you'll work behind the scenes to keep revenue flowing, tackle claim denials, investigate billing issues, and collaborate with payers to get accounts across the finish line.

Requirements

3+ years of hospital billing, collections, or revenue cycle experience preferred
Strong attention to detail and organizational skills
A knack for investigating issues and finding solutions
Ability to thrive in a fast-paced environment and manage priorities independently
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

Follow up on insurance claims and work through denials
Review EOBs and payment activity for accuracy
Correct and rebill claims through clearinghouses as needed
Manage a daily account workload and keep claims moving
Problem-solve billing issues and identify opportunities for resolution
Maintain accurate account documentation and updates
Call about status of 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.