PATIENT ACCOUNTS REP

UHS•MADERA, CA

About The Position

The Patient Account Representative is responsible for submitting electronic and manual billings, account statements, and for follow-up with third-party payers and patients for outstanding balances. This position is also responsible for the preparation of daily cash receipts and maintenance of insurance logs.

Requirements

High school graduate or equivalent.
Any combination of education, training, or experience in a hospital business office is required.
Experience with patient accounts, computers, and multiple business software programs required.
Knowledge of all code procedures.
Knowledge of computers and business software.
Knowledge commercial and government(Medicare, Medi-Cal, County, etc.) policies and guidelines.
Skill in organizing and prioritizing workloads to meet deadlines.
Skill in telephone etiquette and paging procedures.
Effective oral and written communication skills.
Ability to communicate effectively with patients and co-workers.
Ability to adhere to safety policies and procedures.
Ability to use good judgment and to maintain confidentiality of information.
Ability to work as a team player.
Ability to demonstrate tact, resourcefulness, patience and dedication.
Ability to accept direction and adhere to policies and procedures.
Ability to recognize the importance of adapting to the various patient age groups (adolescent, adult and geriatric).
Ability to work in a fast-paced environment.
Ability to react calmly and effectively in emergency situations.
Ability to meet corporate deadlines.

Nice To Haves

A minimum of two (3) years’ experience in hospital and/or insurance billing is preferred.

Responsibilities

Prepare all accounts for billing and ensure account billing productivity standards are met: Prepare and submit insurance billings to primary and secondary payers. Prepare TAR forms for county authorization and billing. Transmit all billings to third-party payers, either manually or electronically as requested. Assist in contacting third-party payers at a 30-day interval after billing to ensure that bills have been received and are being processed. Assist in contacting third-party payers on insurance billings a minimum of twice every 30 days for payment status. Correspondence is answered within 72 hours of receipt. Maintain a current tickler and/or aging system for prompt follow-up on billing cycles. Document contacts on a productivity log.
Ensure account activity is current and accurately documented: Change financial class of accounts if there is secondary insurance to be billed. Complete a denial notification notice when payments are denied and ensure documentation on the folder is completed. Maintain an up-to-date Midas when receiving denial. Provide chart and denial documentation to UM department for review. Prepare billing reports as required by the department. Review for accuracy all records and uniform billings (UBS) for third -party payers.
Provide follow-up on progress of appeals, and prepare documentation as required.
Maintain Medicare and Medicaid statistical logs and databases.
Prepare departmental billing and statistical report as required.
Provide back-up support for other business office teammates.
Adhere to facility, department, corporate, personnel and standard policies and procedures.
Attend all mandatory facility in-services and staff development activities as scheduled.
Adhere to facility standards concerning conduct, dress, attendance and punctuality.
Support facility-wide quality/improvement goals and objectives.
Maintain confidentiality of facility employees and patient information.