Patient Account Representative - FT Remote

Geisinger; Tucson (AZ); Remote; USD 35,000 - 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 role involves managing billing and collections, following up with insurance claims, and preparing necessary documentation. Ideal candidates will have prior experience in a hospital setting and strong organizational skills.

Qualifications

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

Responsibilities

• Responsible for billing and collections of client accounts, including electronic claim filing.
• Perform follow-up calls with insurance and review claim status.
• Prepare and submit account adjustments for approval.

Skills

Claims follow-up

Billing and collections

Data interpretation

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, working remotely.

Shift: Monday - Friday, day shift

Responsibilities

Overview/Summary of Position:

Responsible for billing and collections of client accounts, including electronic claim filing and follow-up. Confirms successful claims transmission in the clearinghouse. Performs follow-up calls with insurance, reviews claim status via insurance portals, websites, or phone calls. Prepares balance due letters and makes collection calls. Evaluates the need for bad debt referral and prepares/submits account adjustments for approval.

Essential Functions:

• Call and follow up on outstanding claims with third-party payors.
• Review claims issues, make corrections as needed, and rebill.
• Utilize claims clearinghouse to review and correct claims; resubmit electronically when available.
• Review explanations of benefits to ensure claims are processed and paid correctly.
• Complete adjustment forms if adjustments are needed, attaching all supporting documentation.
• Manage daily productivity via patient accounting system and reports, maintaining an average of 30-40 accounts worked per day.
• Prorate patient accounts and monitor that balances are in the correct financial class.
• Report weekly overview to the BOD and participate in AR meetings.
• Gather and interpret data to determine appropriate actions, initiating timely and strategic steps to secure payment.
• Assist financial counselors as needed.
• Alert Financial Counselors and Business Office Director of any benefit eligibility issues affecting reimbursement.

Other Functions:

• Perform other duties and tasks as assigned.

Qualifications

Education/Experience/Skills:

- High school diploma or equivalent required.

- Three or more years of prior admissions and/or collections experience in a hospital setting required.

- Psychiatric experience preferred.

Licenses/Designations/Certifications:

- Not applicable