Patient Account Rep

Rancho Mirage, CA 92270

Job Category: Healthcare-Other Job Number: 143904

Job Description

Job Title:               Patient Account Rep

Location:               Rancho Mirage, California, US - 92270

Job Type:               Contract

Duration:               Short Term

Job Description:

  • Works under the direction of the Billing Manager.
  • Performs follow-up and collection of unpaid insurance claims including contracts and commercial carriers as well as self-pay accounts.
  • Responsible for routine and timely follow-up until the insurance carrier correctly reimburses claims. Processes claim adjustments and refunds when appropriate and reacts to incoming mail and telephone calls regarding the assigned claims and patient bills.
  • Responsible for updating, noting and maintaining the integrity of the account files.

Specific Skills, Knowledge, Abilities Required:

  • Knowledge of computer based claims management
  • Strong windows knowledge, keyboarding skills, knowledge of database system and experience with internet applications
  • Able to operate basic office equipment i.e. copiers, fax machines and calculators
  • Must have an understanding of medical terminology
  • Requires strong customer service and problem solving skills
  • Requires the ability to handle multiple projects/tasks at the same time
  • Able to prioritize workload and possess good time management skills
  • Ability interpret contracts, billing regulations and complex claim requirements
  • Ability to lead and create motivated workers

Safety:

  • Completes annual health, safety, compliance reviews and any department/hospital specific requirements within the expected timeframe.
  • Corrects and/or reports any unsafe conditions to extension 4759 or employeesafety@emc.org.
  • Adheres to hospital and department safety and compliance policies and procedures.
  • Understands the importance of immediately reporting on-the-job injuries online and to your supervisor.
  • Wears identification badge at all times ensuring it can be read.

Clinical/Professional Excellence:

  • Accepts responsibility for own work; develops trust and credibility with peers, supervisors & customers.
  • Maintains sound judgment and reasoning; analyzes problems or procedures & selects correct course of action.
  • Treats co-workers as teammates; accepts/supports team decisions and the roles of others.
  • Monitors own work to ensure quality; participates in continuous quality improvement.
  • Engages in opportunities to learn and grow by participating in training and educational programs.

Courtesy/Caring:

  • Acknowledges each person in a friendly contact & offers assistance as needed.
  • Provides an enhanced level of service by taking immediate action in addressing customer requests, needs, and concerns.
  • Uses pleasant/appropriate tone and positive verbal/nonverbal/written communication at all times.
  • Answers telephone by identifying department and name; and asks “How may I help you?”
  • Treats everyone with courtesy and respect, not making excuses nor blaming other employees or departments; works together to improve customer service.

Healing Environment:

  • Maintains a professional image and a clean, orderly environment that portrays an overall image of excellence.
  • Promotes a culture of healing by creating a quiet, calm, pleasant and cheerful environment.
  • Demonstrates compassion when dealing with difficult situations & takes initiative to resolve.
  • Creates a positive environment by not engaging in inappropriate communication.
  • Demonstrates a positive, can-do attitude and embraces the culture of performance excellence.

Efficiency:

  • Adheres to all hospital, division and departmental policies and procedures.
  • Balances individual/team responsibilities to produce more efficiently. Helps others during slow periods.
  • Adheres to all rules & standards around productivity, timeliness, overtime, & meal/rest periods.
  • Provides helpful, courteous, timely, and accurate responses to all individuals & pays attention to detail.
  • Makes a concerted effort to conserve hospital resources, i.e. electricity, supplies, water.

Essential Responsibilities:

  • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
  • Manages new accounts, on a daily basis, by contacting payer to determine if the account has been received and/or if additional information is required. Assigns follow-up dates in accordance with follow-up guidelines.
  • Account resolution of all self-pay accounts including self-pay after insurance. 
  • Manages new credit balance accounts every day and prepares adjustments or refunds to zero the account balance
  • Works all accounts listed in the Follow-Up cue, on a daily basis to promote collection of accounts. This will include telephoning the payer or identifying the claim on the payers’ Internet location.
  • Manages entire account inventory on a timely basis to promote payment and resolution of all accounts prior to ninety days from date of billing.
  • Answers incoming telephone call from patients who call with questions/information regarding their bills
  • Responds appropriately to incoming mail from patients or payers regarding their assigned accounts
  • Processes incoming hard copy explanation of benefits and reacts appropriately to resolve the accounts.
  • Records accurate and definitive notes in the electronic account file that depict the current status of account, issues with account and anticipated date of resolution.
  • Escalates account management to manager when extraordinary issues arise.
  • Obtains and records “Promise to Pay” amounts on a daily basis that are consistent with the cash collection goals of the department
  • Assigns a status codes to each worked account to enable account tracking, statistical data gathering and audit activities.
  • Identifies work unit issues and participates in solutions and problem solving by working with manager and staff members.
  • Attends staff meeting, in-house training and attends classes pertaining to Federal and State billing regulations as well as Compliance Issues and Guidelines when requested
  • Performs other job related tasks as assigned by Supervisor

About ASK: ASK Staffing is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Staffing connects people with amazing opportunities

Reach Out To A Recruiter

Recruiter:             Alroy Miller

Email:                   alroym@askstaffing.com

Phone:                   678-257-2404

Meet Your Recruiter

Sourabh Agrawal
Sourcer Specialist

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