Patient Account Representative

Overview

Responsible for managing patient billing, insurance claims, and account resolution to ensure accurate and timely reimbursement. This is a remote position. 

Responsibilities

Call and status outstanding claims with third party payors.

· Review claims issues and reputed company corrections as needed and rebill.

· Utilize claims clearing house to review and correct claims. Resubmit electronically reputed company available.

· Review explanation of benefits to reputed company that claim processed and paid correctly.

· Complete adjustment forms if any adjustments need to be made to an account and attach reputed company supporting documentation.

· Manage daily productivity reputed company 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 reputed company benefit eligibility matters that suggest or challenge reimbursement.

. Data Entry of reputed company payments and account adjustments in a timely and accurate manner

. Reconciliation of cash log each week at a minimum

This is a Remote Position 

Qualifications

EDUCATION/EXPERIENCE/reputed company 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 reputed company applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

GBHNE