Patient Accounts Representative

Administrative/Clerical Lawrence, Kansas


Description

Monday-Friday 8 am -4:30 pm

  1. JOB SUMMARY

The Patient Accounts Representative is responsible for timely and accurate billing and collections of hospital claims to patients and third party payers.  Review and analyze information contained on claims for accurate submission to third party payers to remit payment.  Responsible for all phases of billing and attaching appropriate documentation for payment.  Analyzes payments and adjustments for accuracy.  Displays flexibility regarding work assignments.

 

  1. ESSENTIAL JOB RESPONSIBILITIES
  1. Understands the importance of internal customer services.
  2. Maintains a positive working relationship and communicates appropriately.
  3. Maintains professional atmosphere through responsible actions and deeds.
  4. Acts in a professional manner representing the department appropriately at all times.
  5. Maintains knowledge and ensures compliance with third party payer and government billing requirements.
  6. Responds to patient questions with concern at all times, treating them with respect and dignity.
  7. Performs audits of patient accounts to ensure accuracy and timely payment.
  8. Verify insurance benefits for commercial, Medicare and Medicaid Payers via phone and website.
  9. Identifies and corrects billing errors and resubmits claims.
  10. Ensures timely follow up and appropriate escalation of outstanding claims with third party payers.
  11. Review EOB’s and initiate appeals as necessary.
  12. Verifies payments and discounts with insurance carriers.
  13. Works appeals and denials.
  14. Performs other duties as assigned or requested.

III. JOB QUALIFICATIONS

Required:

  • High School diploma or equivalent
  • Two years’ experience of third party billing and follow up, in a healthcare setting

 

  1. BEHAVIORAL EXPECTATIONS (common to all positions)
  • Patient 1st – We consider the patient first in everything we do.
  • Better Together – We are part of the LMH team that works together to achieve excellence.
  • Speak Up – We embrace a transparent culture of open, respectful communication where ideas are valued and solutions are created.
  • Innovate! – We actively explore new ideas and approach change with agility and an open mind.
  • Own It/Solve It – We hold ourselves accountable for our actions and we collaborate for solutions.
  • In Joy – We create a workplace that is both fun and meaningful.

At LMH Health we value inclusion and diversity. We are an equal opportunity employer and encourage all to apply.  Employment is decided on the basis of experience and qualifications that meet the business need.