Patient Account Representative

Acadia Healthcare • Henderson, NV

8d

About The Position

The Patient Account Representative will be responsible for managing outstanding claims with third-party payors, reviewing and correcting claim issues, and ensuring accurate payment processing. This role involves utilizing claims clearinghouse systems, reviewing explanations of benefits, completing adjustment forms, and managing daily productivity within the patient accounting system. The representative will also prorate patient accounts, monitor financial classes, report weekly overviews to the Board of Directors, and participate in AR meetings. Additionally, the role requires gathering and interpreting data to initiate payment strategies and assisting financial counselors with benefit eligibility matters.

Requirements

• 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

• Call and status 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED