What are the responsibilities and job description for the Patient account representative position at Fall River Health Services?
Fall River Health Services is looking for a Patient Accounts Representative in Hot Springs, SD.
In this position an individual will perform clerical, accounting, credit and collections, receptionist duties, responds to patient and insurance inquiries, insurance claim filing and perform other duties as assigned.
Responsibilities : Ensure patient insurance is completed accurately, and that billing and payment posting is done in a timely manner.
Communicate any unusual or complex problems regarding accounts or patient insurance to the Revenue Cycle Manager for further instruction.
Answer billing questionsReview accounts and performs timely follow-up in accordance with department procedure.Adhere to hospital and department policies;
demonstrates an understanding of federal regulations by adherence to the Truth in Lending Act, Fair Credit Reporting Act, Fair Credit Billing Act, Fair Debt Collections Practices Act and Bankruptcy laws.
Receive, reviews and responds to correspondence from parties regarding patient accounts.
Receives incoming telephone calls from responsible parties concerning payment of accounts in a timely fashion.
Obtains proper payment in accordance with billing regulations and facility policies.Apprise patient and / or third party payer of balance due to facility and collection of same while maintaining the goodwill of our patient and good community relations.
Research designated portion of aging of patient accounts to expedite paymentsEnsure interdepartmental communications necessary for timely follow-up and submission of claims.
Adds notes to patient accounts concerning various encounters with patient or insurance concerning account.Follow up on claim issues, including secondary claim filingProvide clerical support and backup as neededPrepare and enter daily deposits into the computer systemHandle all insurance claims in compliance with all published requirements.
Interprets insurance company program requirements and provisions necessary to file proper claims.Determine patient accounts to be referred to the collection agency and prepares a list of such accounts for administration approval.
Complete all outside agency contract billing.Initiate payment contract arrangements in accordance with facility policies.
Monitor denial letters received from insurance companies; abides by department policy for follow-up.Working of all available Work queues in the EPIC system.
Accountable for assisting the Revenue Cycle Manager in all of the facility AR aging, including training Patient Account Representatives on the necessary work flow.
Reconcile and monitors the Residents Trust Account.Adhere to Medicare and Medicaid policies.Maintain Seven Sisters Living Centers census.
Issue timely refunds in accordance to state regulations.Complete month end checks and balances The average Salary for this position is $16.
79- $20.25 an hour depending on years of experience.
Last updated : 2024-09-15
Salary : $17 - $20
