Patient Account Representative

Cove Forge Behavioral Health Center; Williamsburg (Blair County); On-site; USD 19,000 - 25,000; Full time

Benefits offered by this job

Comprehensive Benefit Package

401K + Matching

Paid Holidays

Paid Time Off

Job summary

Cove Forge Behavioral Health Center is seeking a full-time Patient Account Representative to provide financial support for clients under facility management. The role focuses on applying for state/local programs to secure funding, verifying benefits, and handling claims with third-party payors.

Proficiency in MS Office, especially Excel, is required. The position is onsite, with a 30–40 accounts/day productivity target and benefits including 401K, holidays, and PTO.

Qualifications

• HS Diploma or GED required.
• Three or more years’ prior admissions and/or collections experience in a hospital setting.
• Psychiatric experience preferred.

Responsibilities

• Review and rebill claims issues; review benefits verifications and EOBs.
• Apply for PA MA using COMPASS and PROMISE; assist clients with MA eligibility.
• Manage daily productivity and meet a 30–40 accounts/day target; communicate with third-party payors.

Skills

MS Office (Excel)

Education

High school diploma or GED

Job description

We are currently seeking a full-time Patient Account Representative to provide financial support to clients under the direction of facility management. This position will primarily be responsible for working to assist clients by applying for state and local programs to ensure the most funding available.

Proficient working knowledge of Microsoft Office programs (specifically Excel) is required.

The Patient Account Representative position: May review claims issues and make corrections as needed and rebill; 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; Use the state's system (COMPASS) to apply for PA MA; Use PROMISE to check the status and client's MA; Help clients obtain verifications, that they will need to qualify for MA; Do Insurance Benefit verifications; Collect copays and deductibles; other duties as assigned by management.

Schedule: Monday - Friday (hours: daylight)

Location: This is an onsite position

Salary: Starting at $16.00/hr

Benefits

• Comprehensive Benefit Package
• 401K + Matching
• Paid Holidays
• Paid Time Off

This Position Requires

• HS Diploma or GED
• Professional and courteous demeanor
• Working computer knowledge for emails/charting

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.
• Use the State's system (COMPASS) to apply for PA MA
• Use PROMISE to check the status and client's MA
• Do Insurance Benefit verification
• Collect copyas and deductibles
• Must have working knowledge of all Microsoft products

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.

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.

AHMKT