Hospital Patient Account Collections Representative
Location
United States
Posted
1 day ago
Salary
$15 - $23 / hour
High School4 yrs expEnglish
Job Description
• The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner.
• Follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities.
• Work independently as well as work closely with management and team to take appropriate steps to resolve an account.
• Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership.
• Research each account using company patient accounting applications and internet resources that are made available.
• Conduct appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online.
• Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account.
• Recognize potential delays and trends with payors such as corrective actions and responds to avoid A/R aging.
• Participate and attend meetings, training seminars and in-services to develop job knowledge.
Job Requirements
- High School diploma or equivalent. Some college coursework in business administration or accounting preferred
- 1-4 years medical claims and/or hospital collections experience
- Minimum typing requirement of 45 wpm
- Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies
- Intermediate skill in Microsoft Office (Word, Excel)
- Ability to learn hospital systems – ACE, VI Web, IMaCS, OnDemand quickly and fluently
- Ability to communicate in a clear and professional manner
- Must have good oral and written skills
- Strong interpersonal skills
- Above average analytical and critical thinking skills
- Ability to make sound decisions
- Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors
- Familiar with terms such as HMO, PPO, IPA and Capitation and how these payors process claims.
- Intermediate understanding of EOB.
- Intermediate understanding of Hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms.
- Ability to problem solve, prioritize duties and follow-through completely with assigned tasks.
Benefits
- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
- 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
- For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
