Patient Account Representative

***Local Remote Position: To be considered you MUST live 2.5 hours within the greater Brentwood TN area***

Recognized by Newsweek in 2024 and 2025 as one of Americas Greatest Workplaces for Diversity

Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self join us! Youll earn more than a paycheck; you can find opportunities to grow your career through professional development as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance life insurance and retirement plans are available and vary by employment status.

Part and Full Time Benefits Eligibility

• Medical Dental Vision insurance
• 401(k)
• Associate assistance program
• Employee discounts
• Referral program
• Early access to earned wages for hourly associates (outside of CA)
• Optional voluntary benefits including ID theft protection and pet insurance

Full Time Only Benefits Eligibility

• Paid Time Off
• Paid holidays
• Company provided life insurance
• Adoption benefit
• Disability (short and long term)
• Flexible Spending Accounts
• Health Savings Account
• Optional life and dependent life insurance
• Optional voluntary benefits including accident critical illness and hospital indemnity Insurance and legal plan
• Tuition reimbursement

Base pay in range will be determined by applicants skills and experience. Temporary associates are not benefits eligible but may participate in the companys 401(k) program.

Veterans transitioning active duty military personnel and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen Brookdale offers to advance fees for naturalization (Form N-400) application costs up to $725 less applicable taxes and withholding for qualified associates who have been with us for at least a year.

The application window is anticipated to close within 30 days of the date of the posting.

1. Perform quality assurance checks of patient information in PCC.
2. Bill initial and/or adjusted skilled nursing (SNF) claims for Managed Care Medicare Medicare copy claims Benefit exhaust no pays Medicaid and Coinsurance through Waystar clearing house fax or online portals. Billing SNF Private Pay statements thorough Waystar.
3. Create and bill carve out and high cost drug claims.
4. Performa revenue input claim creation billing and follow-up of immunization charges to Medicare and Manage Care.
5. Maintain familiarity with current and past contracts with Managed Care companies.
6. Follow up on past due revenue for Medicare Managed Care Coinsurance and Medicaid accounts. Maintain knowledge of past due revenue for monthly calls with communities and Finance Director.
7. Support communities with PCC Medicare/Insurance contract and patient account questions that may arise.
8. Follow up on all SNF credit accounts to determine if refund or escheatment is due or PCC adjustment is needed.
9. Process write off and refunds via Service Now and PCC.
10. Perform month end closing of divested communities in PCC.
11. Track all claims for monthly billing deadlines.
12. Provides support for other team members as needed.

Education and Experience
High school diploma or general education degree (GED) and minimum of one to three years related experience. Additional education may be substituted for years of experience requirement on a year-for-year basis up to 2 years. Associates or Bachelors Degree preferred.

Prior experience billing Medicare and insurance claims is required. Must have proficiency in Microsoft office including Excel and Word. Prior experience with PCC and Waystar and experience in SNF billing is preferred.

Certifications Licenses and Other Special Requirements
None

Management/Decision Making
Makes standard and routine decisions based on detailed guidelines with limited independent judgment. Problems are generally solved with clear detailed guidelines or by reporting them to a supervisor.

Knowledge and Skills
Has a basic level of skill and can follow written or verbal instructions. Has basic technical skills to complete a few repetitive and well-defined duties. Has a basic knowledge of the organization in order to answer basic questions. Full understanding of billing-related computer systems. Knowledge of insurance payers. Proficiency in computers to include Microsoft Word and Excel. Ability to organize daily activities within the office to promote timely and efficient transmission of information. Strong communication and customer service skills. Effective interpersonal and organizational skills accompanied with the ability to work with a high level of volume and detail. Ensures adherence to HIPAA and all laws pertaining to confidentiality.

Physical Demands and Working Conditions

• Standing
• Walking
• Sitting
• Use hands and fingers to handle or feel
• Reach with hands and arms
• Talk or hear
• Ability to lift: Up to 10 pounds
• Vision
• Requires interaction with co-workers residents or vendors

Brookdale is an equal opportunity employer and a drug-free workplace.