What are the responsibilities and job description for the Patient Account Representative position at Park Royal Hospital?
- Financially counsel patients on the units
- Verify patient's insurance
- Determine each patient's co-pay, co-insurance and deductible
- Qualify patients for Financial Assistance
- Call patients to collect balances due
- 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.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
Experience
Required- 3 year(s): Three or more years’ prior admissions and or collections experience in a hospital setting required.
- Psychiatric experience preferred.
Education
Required- High School/GED or better
Skills
Required- Written Communication
- Problem Solving
- Planning & Organizing
- Oral Communication
- Customer Focus
- Financial Awareness
- Computer - Word
- Computer - Excel
- Communication
- Attention to Detail
Behaviors
Required- Team Player: Works well as a member of a group
- Loyal: Shows firm and constant support to a cause
- Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
- Dedicated: Devoted to a task or purpose with loyalty or integrity
Motivations
Preferred- Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
- Goal Completion: Inspired to perform well by the completion of tasks
- Financial: Inspired to perform well by monetary reimbursement
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
