Patient Account Representative - FT Remote

Harboroaks; Saddlebrooke (AZ); Remote; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare company is seeking a Full Time Patient Account Representative for their West Coast Business Office. The representative will handle billing and collections, engaging with insurance providers to ensure claims are processed correctly. Candidates should have high school diplomas and significant experience in admissions or collections, with psychiatric experience preferred.

Qualifications

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

Responsibilities

• Responsible for billing and collections of client accounts.
• Call and status outstanding claims with third party payors.
• Review and correct claims issues; maintain productivity of 30-40 accounts worked per day.

Skills

Attention to Detail

Communication Skills

Problem Solving

Education

High school diploma or equivalent

Job description

Overview

We are currently seeking a Full Time Patient Account Representative to join the West Coast Business Office of Acadia Healthcare, to work remotley.

Shift:Monday - Friday, day shift

Responsibilities

OVERVIEW/SUMMARY OF POSITION:

Responsible for billing and collections of client accounts including electronic claim filing and review follow up. Confirms successful claims transmission in clearinghouse. Performs follow insurance calls, claim status review via insurance portal, website or phone call. Prepares balance due letters and collection calls. Evaluates need for bad debt referral and prepares and submits account adjustments for approval.

Essential Functions:

• 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.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

Qualifications

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