Patient Account Representative Full-time
Patient Account Representative Full-time
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Job Description
Pacific Grove Hospital offers a full of benefits ranging including:
- Competitive Salary
- Paid Time Off
- Paid Holidays (8 Total)
- Medical Dental & Vision Insurance
- FSA & HSA Plans
- LongTerm & ShortTerm Disability
- Company Paid Life Insurance
- Supplemental Life Insurance
- Employee Assistance Program
- Employee Discount Program
- 401(k) Retirement Plan with Company Match
- MANY Employeecentered events throughout the year!
Hourly Range: $23.00$27.00 DOE
Pacific Grove Hospital is a nationally recognized 68 bed acute psychiatric and chemical dependency treatment center offering inpatient & outpatient services for psychiatric illnesses addictions & cooccurring disorders. Our hospital offers comprehensive training dynamic leadership and personalized support so you can achieve your greatest potential.
Patient Responsibilities include:
- 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 3040 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 timesensitive and strategic steps resulting in payment.
- Assist financial counselors as needed.
- Alert Financial Counselors and Business Office Director/Manager of all benefit eligibility matters that suggest or challenge reimbursement.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL 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.
- Experience with insurance verifications required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Not applicable
Required Experience:
Unclear Seniority
Employment Type
Full-Time
