Patient Account Rep - Credit & Collection FT Days

Clerical 85500 - Credit & Collection Full-Time Days 8 Hour 0800


Description

Under general supervision, Patient Account Rep oversees collection of patient revenues, maximizing reimbursements, cash flow and maintaining low receivables, while also maintaining excellent customer relations.

Core Competencies

  • Reviews patient account documentation received from Admitting; identifies any missing information, corrects and follows-up with appropriate departments.
  • Identifies and resolves problem issues independently.
  • Reviews patient accounts and follow-up documents to determine the nature and extent of delinquency problems, and any actions taken by patients or third party payers; investigates delinquency cases to identify any special circumstances affecting payment delays
  • Receives and answers inquiries from patients and insurance companies regarding charges and/or billing discrepancies.
  • Reviews status of accounts receivable queues.
  • Promotes positive customer relations.
  • Utilizes hospital computer system to update, adjust, and process accurate patient accounts.
  • Reviews status of work queues and prioritizes job functions to ensure timely follow-up on patient accounts.
  • Verifies insurance eligibility and authorization as needed.
  • Reviews patient account with credit balances. Makes corrections, if needed and or submits refund request when appropriate.
  • Stays informed of updated insurance requirements and reimbursement practices.
  • Assists with training of new staff members.

Department Specific Competencies

  • Coordinates work activities of Medi-Cal eligibility worker.
  • Provides estimate of cost for hospital services.

Education

DegreeProgram
High School Diploma/GED or Higher EducationN/A
Additional Information

Experience

Number of Years ExperienceType of Experience
2Biller/collection experience in medical office or hospital.
Additional Information
One year experience in hospital business office.

License / Certification Requirements