Patient Account Representative

Acadia Healthcare; Henderson (NV); On-site; USD 45,000 - 65,000; Full time

Job summary

Acadia Healthcare is seeking an experienced hospital AR specialist to manage accounts receivable, review and correct claims, and rebill with third-party payors. You will analyze explanations of benefits, prepare adjustment forms, and maintain daily productivity using the patient accounting system.

Ideal candidates have a high school diploma and 3+ years in hospital admissions/collections, 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 and resubmit electronically when available.
• Review explanation of benefits to ascertain that claim processed and paid correctly.
• Complete adjustment forms if any adjustments needed and attach supporting documentation.
• Manage daily productivity via patient accounting system and productivity reports; maintain 30–40 accounts worked per day minimum.

Skills

Accounts receivable management

Billing and coding

Data interpretation

Communication

Education

High school diploma

Tools

Claims clearing house

Patient accounting system

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

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.