Patient Account Representative Position Available In Lee, Florida
Tallo's Job Summary:
Job Description
Description + Financially counsel patients on the units + Verify patient’s insurance + Determine each patient’s co-pay, co-insurance and deductible + Qualify patients for Financial Assistance + Call patients to collect balances due + 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.
OTHER FUNCTIONS
+ Perform other functions and tasks as assigned. Qualifications Skills Required +
Written Communication:
Advanced +
Problem Solving:
Intermediate +
Planning & Organizing:
Intermediate +
Oral Communication:
Advanced +
Customer Focus:
Intermediate +
Financial Awareness:
Intermediate + Computer –
Word:
Intermediate + Computer –
Excel:
Intermediate +
Communication:
Advanced + Attention to
Detail:
Advanced Behaviors Required +
Team Player:
Works well as a member of a group +
Loyal:
Shows firm and constant support to a cause +
Detail Oriented:
Capable of carrying out a given task with all details necessary to get the task done well +
Dedicated:
Devoted to a task or purpose with loyalty or integrity Motivations Preferred +
Flexibility:
Inspired to perform well when granted the ability to set your own schedule and goals +
Goal Completion:
Inspired to perform well by the completion of tasks +
Financial:
Inspired to perform well by monetary reimbursement Education Required + High School/GED or better Experience Required + 3 years: Three or more years’ prior admissions and or collections experience in a hospital setting required. Preferred + Psychiatric experience preferred. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.