Patient Account Representative

San Juan Regional Medical Center•Farmington, NM

9d•Onsite

About The Position

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community. The Patient Account Representative is part of a team of specialized staff that share an unsurpassed dedication to the community we serve, respecting individual contributions, we value excellence, integrity and continuous improvement. Our commitment to our patients and our values drives us to provide the financial resources essential to serve our community and SJRMC by identifying opportunities to attain reimbursement from third party payers.

Requirements

High School Diploma or equivalent
Computer experience
Ability to speak, read and write in English
Strong communication skills: verbal and listening, primarily in telephone conversation, and written
Ability to work with minimal supervision
Ability to interface ethically and professionally with all levels of management
Demonstrates ability to deliver quality work within tight deadlines.
Independent decision making and discretion.
Ten (10) key/calculator by touch proficiency

Nice To Haves

One (1) year of experience in health care or insurance
Knowledge of third party reimbursement methodologies, especially in hospital setting
Knowledge of CPT/HCPCS coding
Previous Meditech experience
Medical Terminology

Responsibilities

Document summary of communication in the inter facility system(s)
Maintain knowledge of changing insurance requirements through internal/external training and/or communication
Communicate additional information/requests needed to the appropriate personnel for further action
Use personal judgment and initiative to develop effective and constructive solutions per established Guide lines and policies
Manage, organize and update relevant data using database applications
Facilitate to expedite reimbursement
Works in conjunction with other facility departments
Transmits, works edits, rejections and follow up on pended claims.
Works any and all necessary reports as needed
Acts as a resource to Patient Accounts staff regarding third party payer requirements and contractual issues
Analyze and interpret data from payers explanation of payments, to confirm proper reimbursement is made according to contract
Maintain knowledge of daily cashiering functions
Greeting customer, answering questions or providing directions always in such a way that positively affects the customers perception or experience
Each employee is responsible for implementing SJRMC’s Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship
Other duties as assigned