Patient Account Representative

Agave Ridge Behavioral Hospital; Mesa (AZ); On-site; USD 35,000 - 55,000; Full time

Job summary

A healthcare facility in Mesa, Arizona, is seeking a Patient Account Representative to manage claims with third party payors and ensure accurate patient account handling. The ideal candidate will have a high school diploma and at least three years of experience in admissions and collections within a hospital setting. Responsibilities include reviewing claims issues, managing daily productivity, and assisting financial counselors. This role offers an opportunity to contribute to a team dedicated to improving patient care.

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.
• Review explanation of benefits to ascertain that claim processed and paid correctly.
• Manage daily productivity via patient accounting system and productivity reports.
• Prorate patient accounts and monitor that balance due is in the correct financial class.
• Assist financial counselors as needed.

Job description

Join to apply for the Patient Account Representative role at Agave Ridge Behavioral Hospital.

We are changing how care is delivered by bringing together people like you – passionate, highly skilled and motivated to make a difference.

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

• 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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