Patient Account Rep

Community Health Network, Inc.; Indianapolis (IN); Hybrid; USD 42,000 - 52,000; Full time

Job summary

Community Health Network, Indianapolis, is seeking a Patient Account Representative to manage accounts receivable and maximize timely reimbursements for hospital services.

The role requires knowledge of payer billing guidelines, healthcare revenue cycle experience, and accurate documentation in the patient accounting system. After training, you may work from home, joining a supportive team focused on patient care and compliance.

Qualifications

• Two years or more years’ experience in revenue cycle healthcare within a medium to larger healthcare system.
• Must be knowledgeable regarding payer billing guidelines.
• Adheres to all network and departmental procedures and policies.
• Complies with applicable state/federal laws and the program requirements of accreditation agencies and government health plans.

Responsibilities

• Manage all aspects of accounts receivable to ensure maximum/timely reimbursement for hospital services.
• Follow up on payer denials and resolutions within specified timeframes.
• Place calls to payers to collect and assist in maintaining Network A/R days; document actions in the system.

Skills

Revenue cycle experience

Payer billing guidelines knowledge

Confidentiality of patient records

Documentation in system

Education

High School Diploma or GED

Job description

Community Health Network 8.13K subscribers

Join Community

Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you.

Make a Difference

The Patient Account Representative is responsible for managing all aspects of accounts receivables to ensure maximum/timely reimbursement for services performed for hospital billing and claims. The patient account role will be responsible for keeping current on all payer specific regulations and procedures and will provide written summaries of findings and recommendations. This position is customer focused with emphasis on accounts receivable management. The Patient Account Representative is required to follow established guidelines, take action to recover delinquent accounts with the payers. Place calls to the payers to collect and assist in maintaining Network A/R days. Follow up maybe performed by way of payer websites when appropriate. This position will allow the flexibility to work from home upon completion of the initial training period.

Your exceptional skills and qualifications

• Two years or more years’ of experience in revenue cycle healthcare within a medium to larger healthcare system


• Must be knowledgeable regarding payer billing guidelines


• High School Diploma or GED required


• Adheres to all network and departmental procedures and policies


• Complies with applicable state/federal laws and the program requirements of accreditation agencies and federal, state and government health plans


• Documents all actions taken on accounts in the system account notes to ensure all prior actions are noted and understandable by others


• Ensures confidentiality of patient records


• Follows appropriate steps to resolve denials within specified timeframe


• Follows appropriate steps to resolve insurance correspondence scanned into mail queues


• Follows billing and collection procedures as outlined in policies and provides payers with the appropriate and necessary information to adjudicate claim


• Maintains A/R to meet Network set goals


• Meets productivity standards designated by the department


• Meets QA standards designated by the department


• Monitors the billing and follow up holds at all sources, ensures timely resolution and is responsible for keeping assigned tasks current


• Participates in monthly conference calls with specific payers

Why Community?

At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.

Community Physician Network Indianapolis Southside

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