Patient Account Representative

Department:
Business Office

Schedule/Status:
8:00am-4:30pm; Full Time

Standard Hours/Week:
40

Location:
Titusville

General Description:
Under the direct supervision of the Account Receivable Supervisor, the Patient Account Rep is responsible for the timely collection and resolution of the accounts receivable in accordance with the established policies and procedures of the hospital. The position shall exemplify the desired Culture of choice and philosophies of Parrish Healthcare.

Key Responsibilities:

• Maintains an understanding of claims management, third-party payer guidelines, state and federal regulations, and all other functions of the job.
• Maintains Communicates directly with payers to follow up on outstanding claims, resolve payment variances, and achieve timely reimbursement.
• Ensure accounts are paid accurately based on governmental reimbursement methodology or managed care contracts by examining denied or underpaid claims to determine reasons for discrepancies. Adjusts, appeals or refunds accounts accordingly
• Updates and maintains accurate files on each payer, including contact names, addresses, phone numbers, and other pertinent information; thoroughly documents all interactions with payers or activities completed in the account notes.
• Reviews and takes action on documentation from all payer sources that relates to the collections of A/R.
• Monitors accounts and makes recommendations to move to self-pay.
• Assists patients in resolving insurance issues.
• Effectively handles all patient and insurance correspondence and phone calls in a timely manner.
• Ensure accounts are paid accurately based on governmental reimbursement methodology or managed care contracts. Adjusts, appeals or refunds accounts accordingly.
• Understands customer service duties and covers as needed. Performs similar or related duties as assigned.
• Awareness of fire, disaster and safety procedures and regulations as pertains to the work area.

Requirements:

Formal Education:

• High School Diploma or GED required.

Work Experience:

• Minimum of one (1) year experience, accounts receivable experience required. One to three years of relevant experience in medical collections or billing preferred.

Required Licenses, Certifications, Registrations:

• NA

Parrish Healthcare is a caring community of healthcare professionals passionate about excellence and fulfilling our mission of providing Healing Experiences For Everyone All The Time®.

Parrish Healthcare has a Culture of Choice®. This means a we have a healing work environment that empowers people to aspire to be their very best. We partner passionate, talented and skilled people in the right role with the right resources. We provide a clear and strategic direction to achieve superior results on behalf of the communities we serve.