Patient Account Representative

Description

ESSENTIAL FUNCTIONS:

Verify and document detailed patient insurance benefit and eligibility information in HMS, logs and in financial charts for all inpatient and outpatient services.

Verify eligibility for all Medicare patients and printout eligibility inquiry.

Check in/register patients when needed to include financial counseling, payment collections, etc.

Post physician charges into PMC and keep physician logs updated.

Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.

Create financial charts for each inpatient and/or outpatient admission.

Obtain required patient signatures/data for all services.

Collect patient payments as identified. All collected payments must be logged in the designated tracking tools and reconciled. Payment collections must have corresponding receipt in receipt book and must be securely locked until taken to responsible party for deposit.

Assist the Business Office by obtaining insurance claim status for unpaid claims when assigned to a claim status project.

OTHER FUNCTIONS:

Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

High School diploma or equivalent required. Two years prior admissions and or collections experience in a hospital setting required, psychiatric experience preferred. Medical billing experience.

Qualifications

Education

Preferred

High School/GED or better

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)