Patient Account Representative

Acadia Healthcare • Covington, LA

82d

About The Position

Covington Behavioral Health is a 104-bed hospital seeking a dedicated individual to manage and resolve outstanding claims with third-party payors. The role involves reviewing claims issues, making necessary corrections, and rebilling as needed. The successful candidate will utilize a claims clearing house to review and correct claims, resubmitting electronically when available. Additionally, the position requires reviewing explanations of benefits to ensure claims are processed and paid correctly, completing adjustment forms when necessary, and attaching all supporting documentation. Daily productivity must be managed via the patient accounting system, with a minimum of 30-40 accounts worked per day. The candidate will also prorate patient accounts and monitor that balances due are in the correct financial class. Reporting an overview of the week to the Board of Directors and participating in accounts receivable meetings is essential. The role includes gathering and interpreting data from the system to understand the appropriate course of action and initiating time-sensitive and strategic steps to ensure payment. The candidate will assist financial counselors as needed and alert them and the Business Office Director of any benefit eligibility matters that may affect reimbursement.

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.
• 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 understand appropriate course of action to take.
• Initiate 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: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED