Full-Time Patient Account Representative

Acadia Healthcare; Riverdale (GA); On-site; USD 42,000 - 56,000; Full time

Job summary

Acadia Healthcare in Riverdale, GA is seeking a claims specialist to manage accounts receivable tasks in a hospital setting. You will call and status outstanding claims, review issues, rebill when needed, and use a clearinghouse to correct submissions.

The role emphasizes timely payment, data interpretation, and collaboration with financial counselors. A high school diploma and 3+ years of admissions or collections experience are required, with psychiatric experience preferred.

Qualifications

• High school diploma or equivalent required.
• Three or more years’ prior admissions and/or collections experience in a hospital setting required.
• 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 Board of Directors and participate in AR meetings.
• Gather and interpret data from the system and determine appropriate course of action, initiating time-sensitive and strategic steps resulting in payment.
• Assist financial counselors as needed.
• Alert Financial Counselors and the Business Office Director of all benefit eligibility matters that affect reimbursement.

Skills

Claims processing

Collections experience

Admissions experience

Data interpretation

Education

High school diploma or equivalent

Psychiatric experience preferred

Job description

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 Board of Directors and participate in AR meetings.
• Gather and interpret data from the system and determine appropriate course of action, initiating time-sensitive and strategic steps resulting in payment.
• Assist financial counselors as needed.
• Alert Financial Counselors and the Business Office Director of all benefit eligibility matters that affect reimbursement.

Qualifications and Experience

• High school diploma or equivalent required.
• Three or more years’ prior admissions and/or collections experience in a hospital setting required.
• Psychiatric experience preferred.

Licenses, Designations, Certifications

• Not applicable

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