Patient Account Rep II (BAL & REF) - Patient Financial Experience - Days, Fulltime
Patient Account Rep II (BAL & REF) - Patient Financial Experience - Days, Fulltime
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Salary Not Disclosed
1 Vacancy
Job Description
Heres What You Need:
- High School Diploma or equivalent (REQUIRED)
- Two years of healthcare related experience in Account Review Collections Credit Balances Customer Service or other Revenue Cycle (REQUIRED)
- Epic experience (PREFERRED)
Position Summary:
This position is responsible for resolving patient credit balances through various means and ensuring an appropriate turn around time in order for the patient/consumer to have a good experience.
Position Responsibilities:
Credit Balance Workflow
Will review and work WQs daily to ensure patient credit balances are being resolved efficiently and timely.
Credit balances should be resolved in a hierarchy of patient request age of credit and payor requirement such as Medicare or Medicaid
Patient Credits should be resolved ASAP
Verify validity of patient credit balances by researching reviewing and ensuring accuracy of payment and adjustment posting.
Review of EOBs when necessary to determine appropriate reimbursement and patient due amounts
Use payor specific contracts terms to validate credits
Understand and request appropriate system discounts when applicable.
Refund Workflow
Identify accounts where patient credits should result in patient refunds
Perform refund requests in system per guidelines and per original payment method
Work with approval team for any escalated accounts as needed
Inform Patient Financial Experience Sr. Director or designee of any potential issues or trends that might delay timely refunds to patients
Will ensure that patient outstanding patient balances are resolved prior to refunding
Focus on Service
Provide excellent service when dealing with patients employers management hospital staff and other parties within and outside of THR.
Provide patients/guarantors with information regarding their credit balance or refund when requested in a timely fashion
Communication should be clear concise and professional.
Requests deemed as escalated should receive immediate attention.
Enter all communications regarding patient accounts in the host system.
Reporting and other duties as assigned
Reports regarding credit balance volume resolution and refunds should be provided to management each week and with a monthly summary.
Reports regarding turn around time should be reported to management weekly and with a monthly summary.
Reports regarding trends in credit balances should be reported to management each month in an effort to identify any opportunities for improvement.
Will work with Estimates team as necessary to provide data regarding trends in credits
Will perform other duties as requested/assigned
Why Texas Health
At Texas Health our people make this a great place to work every day. Our inclusive supportive people-first excellence-driven culture make it a great place to work.
Here are a few of our recent awards:
- 2021 FORTUNE Magazines 100 Best Companies to Work For (7th year in a row)
- Beckers Healthcare 150 Great Places to Work in Healthcare (4 years running)
- Americas Best Employers for Diversity list by Forbes
- A 100 Best Workplaces for Millennials by Fortune and Great Place to Work
Explore ourTexas Health careers sitefor info likeBenefitsJob Listings by Category recentAwardsweve won and more.
Do you still have questions or concernsFeel free to email your questions to.
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Patient Account Representative II - Balance & Refunds
Fast-paced high-volume clinic looking for a top skilled Patient Account Rep II
Work location: 612 East Lamar Arlington Texas 76011
Work environment:Remote Contact Center onsite training may be required one day per quarter
Work hours: Full-time 40 hours weekly; Monday thru Friday (8am 5pm)
Department Highlights:
Remote Work
Incentive Opportunities
Opportunity to enhance your goals and values
Employment Type
Full-Time
