Patient Representative/Biller, Duncan Regional Hospital

DRH Health; Duncan (OK); On-site; USD 40,000 - 56,000; Full time

Job summary

DRH Health is seeking a team member to collect patient payments, set up payment plans, and post patient payments. You will work within the revenue cycle to ensure accurate posting and timely follow-up on balances.

Responsibilities include communicating with patients about balances, assisting with account questions, and coordinating charity care applications to support affordability. Strong clerical and EHR skills are essential for success.

Qualifications

• Fluency in oral and written English is required.
• High school diploma or equivalent is required.
• Experience in medical claims recovery and/or collections preferred.

Responsibilities

• Accurately posts client and patient payments and creates payment plans for upcoming services and/or outstanding balances.
• Reviews balances and communicates to patient and other affected parties about outstanding balances.
• Assists patients in resolving account questions and concerns.
• Coordinate and complete financial assistance applications for charity care.
• Understands the revenue cycle and escalation pathways.
• Contact patients to obtain information needed to resolve insurance balances.
• Post payments electronically and manually.
• Process creditor’s claims by watching for death notices and placing claims on estates.

Skills

Communication skills

English fluency

Basic computer skills

Billing/collections aptitude

Education

High school diploma or equivalent

Tools

Electronic Health Records (EHR)

Job description

Job Summary

The team member will collect patient payments, set up payment plans, and post patient payments.

Job Summary

The team member will collect patient payments, set up payment plans, and post patient payments.

Responsibilities (essential Functions)

• Accurately posts client and patient payments and creates payment plans for upcoming services and/or outstanding balances.
• Reviews balances and communicates to patient and other affected parties about outstanding balances.
• Assists patients in resolving account questions and concerns.
• Responsible for coordinating and completing financial assistance application for charity care program.
• Responsible for understanding the revenue cycle, including all involved parties and appropriate escalation pathways.
• Responsible for contacting patients to gain additional information required to resolve an outstanding insurance balance.
• Responsible for posting payments both electronically and manually.
• Process creditor’s claims by watching for death notices and placing claim on estate for outstanding balances.
• File liens with the courthouse.
• Review bad debt.
• Prepare employee contracts for payroll deductions.
• Prepare Birth Center contracts for OB patients to set up payment plan for birth.
• Coordination of benefits for patients.
• Print monthly client billing forms.
• Print UB04/1500 forms for Medicare Records.
• Make daily adjustments for self-pay case rates.
• Perform regular account credit review
• Regular attendance and punctuality for scheduled shifts.
• Maintains professional and technical knowledge through continuing education opportunities including internal and external educational offerings.
• Must adhere to safety protocols at all times.
• Per DRH policy, all required conditions of employment must be met and maintained including required vaccinations.
• Implement DRH Standards of Behavior and exhibit behaviors consistent with DRH core values.
• Performs other related duties as assigned.

Qualifications

Minimum Qualifications: Communication skills including fluency in oral and written English. Basic computer skills including the ability to send/receive email, navigate information technology associated with the position, and use Electronic Health Record information tools. Ability to remain flexible to quickly adapt to urgent situations. Ability to adapt procedures, processes, tools, equipment, and techniques to accomplish the requirements of the position.

Education and/or Experience: High school diploma or equivalent. At least 1 year of experience in medical claims recovery and/or collections and basic know of billing and collections rules and regulations preferred. Basic medical billing/collections, coding, and denial management experience preferred. Ability to read, interpret and apply policies, procedures, and requirements. Familiarity with standard office equipment. Ability to handle multiple tasks in timely manner.

Certifications, Licenses, Registrations: For those positions requiring travel, a current valid driver's license and automobile liability insurance must be maintained.

Non Safety-Sensitive Position

As a condition of employment, vaccinations are required per DRH Policy. Medical and Religious Exemptions are available upon request.