Part Time Patient Account Representative

NeuroPsychiatric Hospitals; Kalamazoo (MI); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Competitive pay

Medical insurance

Dental insurance

Vision insurance

401(k) with company match

EAP programs

PTO & holidays

Tuition assistance

Work-life balance

Employee discounts

Job summary

NeuroPsychiatric Hospitals in Kalamazoo, MI is seeking a Patient Account Representative to coordinate third-party billing and apply payments across the hospital system. You will work closely with Clinical staff, HIM, and other personnel, handling billing, remittance reviews, and reimbursements while ensuring proper documentation and compliance.

The role requires strong communication, attention to detail, and experience in hospital billing; familiarity with insurance verification, claims

Qualifications

• High School Diploma or GED required.
• Associate's degree in business, finance, or healthcare administration preferred.
• Minimum of 1 year of hospital business office experience in billing and collections required; 3 years preferred.
• Familiarity with insurance verification, claims follow-up, and patient account management desirable.
• Goal driven and able to work in a fast paced environment.
• Strong verbal and written communication skills.
• Excellent organization and attention to detail; experience billing/collecting for commercial, Medicare, Medicaid, and patient payers.
• Effective claim follow-up and appeals process.
• Proficient in MS Word and Excel, with familiarity of billing software.

Responsibilities

• Performs pre-admitting activities: screen insurance information, obtain preadmission approvals, explain hospital policies and answer inquiries.
• Notifies insurance companies on admissions and logs notifications.
• Coordinates insurance billing function of the hospital system.
• Coordinates application of patient, insurance, and other payments.
• Performs Billing Clerk and Cashier duties as needed.
• Coordinates and performs insurance follow-up procedures.
• Prepares weekly/monthly reports on third-party billings and late charges.
• Ensures hospital records contain information for reimbursement and verifies correct coding.
• Inputs billing data and transmits to insurance carriers; prepares paper claims as needed.
• Provides itemized statements to insurers, patients, and representatives.
• Keeps confidentiality and complies with laws and hospital policies.

Skills

Strong verbal and written komunikasi

Education

High School Diploma or GED

Associate's degree in business/finance/healthcare admin

Tools

MS Word

Excel

Job description

Healing Body and Mind.

NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it’s needed most.

With locations in Indiana, Michigan, Texas, and Arizona, we’re expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day.

Overview

NeuroPsychiatric Hospitals is looking for a Patient Account Representative at our Kalamazoo, Michigan location. NPH is the national leader in providing medical and neurobehavioral care to patients in acute psychiatric distress. You will be joining a team of rock star staff who provide exceptional, patient-centered care and understand our patients are always our number one priority! The Patient Account Representative will coordinate third-party billing and the application of payments for the hospital system. The position requires extensive contact with Clinical staff, HIM staff and other Hospital personnel and frequent contact with patients and/or their representatives concerning patient accounts. Routine contact with insurance carriers, local companies, and physicians’ office and periodic contact with other hospital departments and collection agencies is also necessary. Records necessary personal information, secures required signatures, prepares and supplies patient data to various hospital departments. To process and follow up on all billing, review remittance advice forms to verify proper reimbursement, and to make adjustments as necessary.

Benefits

Benefits of joining NPH as a Patient Account Representative

• Competitive pay rates
• Medical, Dental, and Vision Insurance
• NPH 401(k) plan with up to 4% Company match
• Employee Assistance Program (EAP) Programs
• Generous PTO and Time Off Policy
• Special tuition offers through Capella University
• Work/life balance with great professional growth opportunities
• Employee Discounts through LifeMart

Responsibilities

• Performs such pre-admitting activities as:
  • Screening insurance information to identify patients requiring preadmission approval from third-party payors ; verifying that approval has been obtained
  • Explaining hospital policies and answering patient inquiries.
• Notifies certain insurance companies on daily basis of the admission of their subscribers, and logs notification made.
• Coordinates the insurance billing function of the hospital system.
• Coordinates the proper application of patient, insurance, and other payments for the hospital system.
• Performs Billing Clerk and Cashier duties as needed.
• Coordinates and performs insurance follow-up procedures.
• Prepares weekly and monthly reports on third-party billings, accounts pending diagnosis, and late charges.
• Checks to ensure that hospital records for patients include all information required for reimbursement.
• Verifies correct coding to ensure prompt payment.
• Inputs correct billing information and transmits electronically to all insurance carriers.
• Prepares and sends out paper claims as needed.
• Prepares and provides itemized statements as requested by insurance companies, patients, and their representatives.
• Makes adjustments to hospital bills subsequent to approval of CFO.
• Prepares weekly and monthly reports of billing for the Chief Financial Officer as directed.
• Floats to other departments and facilities as assigned and directed.
• Maintains a professional approach with confidentiality. Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
• Displays concern and initiative. Is resourceful and calm in emergencies.
• Is prompt and efficient with minimal absences.
• Cooperates and maintains good rapport with nursing staff, medical staff, other departments, and visitors.
• Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply to assigned duties.
• Complies with hospital expectations regarding ethical behavior and standards of conduct.
• Complies with federal and hospital requirements in the areas of protected health information and patient privacy.
• Understands and adheres to NPH’s compliance standards as they appear in NPH’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy
• Keeps abreast of all pertinent federal, state and hospital regulations, laws and policies as they presently exist and as they change or are modified.

Qualifications

• High School Diploma or GED required. Associate's degree in business, finance, or healthcare administration field preferred.
• Minimum of 1 year of hospital business office experience in billing and collections required. 3 years of experience preferred.
• Familiarity with insurance verification, claims follow-up, and patient account management highly desirable.
• Goal driven and must be able to work in a fast paced environment.
• Must have strong verbal and written communication skills.
• Excellent organization skills and attention to detail. Proven experience billing and collecting for commercial, Medicare, Medicaid and patient payers.
• Effective claim follow up and appeals process.
• Proficient in MS Word and Excel, with familiarity of billing software.