Patient Account Representative

Overview Responsible for managing patient billing, insurance claims, and account resolution to ensure accurate and timely reimbursement. This is a remote position. Responsibilities Call and status outstanding claims with third party payors. · Review claims issues and make corrections as needed and rebill. · Utilize claims clearing house to review and correct claims. Resubmit electronically when available. · Review explanation of benefits to ascertain that claim processed and paid correctly. · Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation. · Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum. · Prorate patient accounts and monitor that balance due is in the correct financial class. · Report an overview of the week to the BOD and participate in AR meetings. · Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment. · Assist financial counselors as needed. · Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement. . Data Entry of all payments and account adjustments in a timely and accurate manner . Reconciliation of cash log each week at a minimum This is a Remote Position Qualifications EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: · High school diploma or equivalent required. · Three or more years’ prior admissions and or collections experience in a hospital setting required. · Psychiatric experience preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: · Not applicable We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws. GBHNE