Patient Account Representative

Acadia Healthcare; Henderson (NV); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Medical, Dental and Vision insurance

Life insurance

Short Term and Long Disability

401(k) retirement savings plan with no

Job summary

Seven Hills Hospital in Henderson, NV is seeking a full-time Patient Account Representative responsible for managing a high-volume AR workflow and patient billing inquiries. You will contact third-party payors, rebill, and review explanations of benefits to ensure correct payments.

The role requires a high school diploma and 3+ years of admissions/collections experience in a hospital setting; psychiatric experience is a plus. Competitive benefits and opportunities for growth are provided.

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 rebill as needed.
• Use claims clearing house to review, correct claims and resubmit electronically.
• Review explanations of benefits to ensure correct processing and payment.
• Manage daily productivity in the patient accounting system, averaging 30-40 accounts per day.
• Prorate patient accounts and monitor balances by financial class.
• Report weekly to the Board of Directors and participate in AR meetings.
• Gather and interpret data from system and determine actions to optimize payment.
• Assist financial counselors as needed.
• Alert Financial Counselors and Business Office Director of eligibility issues.

Skills

Admissions experience

Collections experience

Hospital setting

Psychiatric experience

Education

High school diploma or equivalent

Tools

Patient accounting software

Job description

Overview

Seven Hills Hospital is seeking a full time Patient Account Representative

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

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

BENEFITS:

• Medical, Dental and Vision insurance
• Life insurance
• Short Term and Long Disability
• 401(k) retirement savings plan with company match
• FSA and HSA
• Employee Assistance Program
• Tuition Reimbursement Program
• Growth Opportunities
• Paid time off

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. Needs to 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 BOD and participate in AR meetings.
• Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
• Assist financial counselors as needed.
• Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.

Qualifications

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Not applicable

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