Patient Account Representative - Onsite

Acadia Healthcare; Williamsburg (Blair County); On-site; USD 18,000 - 26,000; Full time

Benefits offered by this job

Comprehensive Benefit Package

401K + Matching

Paid Holidays

Paid Time Off

Job summary

Acadia Healthcare in Blair County, Williamsburg, is seeking a full-time Patient Account Representative onsite to support clients by applying for state programs and verifying benefits. Proficient Excel and MS Office skills are required to process claims and maintain accurate records.

The position duties include reviewing benefits, rebilling when needed, collecting copays, and managing daily productivity. Schedule is Monday–Friday, daylight hours, with starting pay at $16.00/hr and a solid

Qualifications

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

Responsibilities

• Call and status outstanding claims with third party payors.
• Review claims issues, correct and rebill as needed.
• Utilize claims clearing house to review, correct, and resubmit claims.
• Review explanations of benefits to ensure proper payment.
• Complete adjustment forms with supporting documentation.
• Manage daily productivity and maintain 30-40 accounts per day.
• Prorate patient accounts and monitor balance due by class.
• Report weekly activity to the BOD and participate in AR meetings.
• Gather and interpret data to initiate timely payment actions.
• Assist financial counselors as needed.
• Alert Financial Counselors and Business Office Director of eligibility matters.
• Apply for PA MA via COMPASS; check MA status via PROMISE.
• Do Insurance Benefit verification and collect copays/deductibles.

Skills

Microsoft Office

Excel

Education

HS Diploma or GED

Job description

Overview

We are currently seeking a full-timePatient Account Representativeto provide financial support to clients under the direction of facility management. Thispositionwill primarily be responsible for working to assist clients by applying for state and local programs to ensure the most fundingavailable.Proficient working knowledge of Microsoft Office programs (specifically Excel) is required.

ThePatient 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

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.
• 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

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

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