Patient Accounts Representative

Huron Regional Medical Center•Huron, SD

11d•Onsite

About The Position

The Patient Accounts Representative assists patients and their families in understanding and managing the financial aspects of healthcare services. This role provides guidance on insurance coverage, payment options, financial assistance programs, and billing processes to ensure patients can access care while meeting financial obligations. Demonstrates the mission of the hospital is met by demonstrating the Core Values: Respectful-We value the unique talents, ideas, contributions, and circumstances of each individual. Engaged-We value being active, positive participants at work and in our communities. Available-We value providing local access to care for our communities while being present for each other. Competent-We value knowledge, people-centered, innovative, and technology driven teams. Helpful-We value always helping others with kindness and compassion.

Requirements

High School Diploma or equivalent.
Computer skills
Customer Services skills
Visual, auditory and speech acuity requisite to verbal and written communication with patients, staff, families, and other persons with whom contact is part of the work activities.
Finger/hand dexterity and eye/hand coordination along with better than average ability with numbers.
Reading
Complex Tasks and Instructing
Writing/ Computer Skills
Math Skills
Problem Solving including analyzing skills
Independent Judgement
Decision Making
Clerical skills including detailed precision working at times
Coordinating skills and Following Instructions
Ability to interpret instructions in written, oral, diagram or scheduled form.

Nice To Haves

One or two years of college or business school preferred.
One to two years of related experience or training preferred.

Responsibilities

Conducts patient financial interviews to assist with the resolution of the patient’s account and to ensure compliance with hospital financial resolution policies.
Advises and counsels patient and guarantors as to the rights, responsibilities, and procedures with regards to payment for care.
Responsible for counseling and education to the patient and/or guarantor on their insurance benefits is applicable.
Works with patient to identify the most appropriate account resolution.
Assists patients with financial assistance application as needed and complete the charity processing for assigned patients, as appropriate
Assists patient with the navigation of the healthcare exchange
Assists patient with the Medicaid eligibility referrals in a timely and complete manner.
Assists patients with determining financial needs and setting up appropriate payment plans according to the hospitals billing and payment guidelines
Recognizes patients in needs of financial assistance and provides charity care applications or referrals to the Department of Social Services or the County Welfare Office.
Assist in processing charity care applications in a timely and complete manner
Visit all inpatients to explain billing process, Verify demographic and insurance information.
Ensure and adheres to strict confidentiality when handling patient information according to HIPAA privacy act and hospital policy and procedure regarding confidentiality.
Has knowledge of and adheres to all compliance regulations, policies and procedures.
Demonstrates excellent customer service to all patients, guarantors and coworkers
Follows up on all unpaid accounts which includes contact with patient to obtain all necessary information and to assist with setting up payment plans.
Participates in department and hospital wide performance improvement projects
Consistently and regularly attends scheduled departmental meetings staff meetings (75% attendance required)
Completes annually Health Stream training
Adhere to HRMC Dress Code policy.
Observes work hours and time clock regulations. Attends in-service on a voluntary basis for professional development needs.
Other duties as assigned.