PATIENT REP III-CUSTOMER SERV

Methodist Hospitals • Merrillville, IN

7d

About The Position

Responsible for responding to the customers, third party payors, and/or physician correspondence, and/or telephone calls.

Requirements

• Productivity requirement of 8.67 worked accounts per hour must be met.
• Reviews Guarantor with Insurance report to determine if patient has unlisted insurance.
• Updates billing indicator when collection agency changes.
• Tracks and trends types of phone calls in Symposium.
• Accurately and completely notates all telephone conversations on patient accounts.
• Determines self pay accounts qualifying for Financial Assistance as per policy.
• High School Diploma/GED Equivalent Required
• 6 Healthcare/Medical - Business Office Required
• Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code.
• Demonstrates knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family, organizational and other medical information.
• Understands and supports the commitment of Methodist Hospitals in adhering to federal, state and local laws, rules and regulations governing ethical business practices for healthcare providers.

Nice To Haves

• Associates Business Administration Preferred

Responsibilities

• Ensures that appropriate Meditech/EPIC letters series are sent out.
• Identifies appropriate hospital accounts to ensure accurate application of payments.
• Processes Visa, Mastercard, and Discover payments upon receipt on a daily basis and researches and prepares refund requests according to CBO policies and procedures.
• Phones patients to obtain insurance and COB information and inform them of financial responsibility and discusses various payment options.
• Prepare appropriate billing documents based upon current payor/hospital guidelines for all third party payors.
• Prepares and processes any necessary adjustment/coding changes on accounts through the system based upon follow-up to expedite the collection process and to ensure the accuracy of the account daily.
• Process all returned patient statements, determine and correct/change mailing address on all returned mail, update EPIC systems.
• Responds to all incoming correspondence, insurance and/or patient requests within established guidelines (i.e. requests itemized, attorney requests, intermediary requests/memos, and physician requests) with two (2) working days.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees