Job Description
This position is not remote. This position is located on site only.
Please apply on our site:
https://www.riverpointbehavioral.com/ We are pleased to announce the following position: FT Medical Collections Representative., Job Duties The Patient Account Representative is responsible for managing patient accounts to ensure accurate billing, timely follow-up, and optimal reimbursement. This role supports the healthcare revenue cycle by processing claims, resolving account issues, communicating with payers and patients, and ensuring compliance with all billing regulations and payer requirements. The Patient Accounts Rep is primarily responsible for time timely follow up of insurance claims until the final disposition. This would include follow up on billed claims, researching and resolving denied claims, and working with other departments as necessary. This role should have administrative and critical thinking skills with the ability to multi-task and the ability to use your judgement on complex account problems. This role must also have excellent customer service when answering questions and finding resolutions to billing issues. This role uses Excel spreadsheets and must understand credit balances and insurance verification. This position assists the Business Office Director with special projects as needed. Key Responsibilities Billing & Accounts Management Review and manage assigned patient accounts from billing through final resolution. Submit accurate and timely claims to government and commercial payers. Post payments, adjustments, and contractual allowances accurately. Identify and correct billing errors to prevent claim delays or denials. Insurance & Payer Follow-Up Follow up on unpaid or underpaid claims with insurance companies. Research and resolve claim denials, rejections, and payment discrepancies. Initiate appeals and provide supporting documentation as required. Verify insurance benefits and coverage when necessary. Patient Communication Respond to patient inquiries regarding billing statements, insurance coverage, and account balances. Explain charges, insurance payments, and patient financial responsibility in a clear, professional manner. Set up payment plans and process patient payments as needed. Maintain confidentiality and provide excellent customer service. Compliance & Documentation Ensure compliance with HIPAA, billing regulations, and payer guidelines. Maintain accurate account notes and documentation in the billing system. Follow established policies and procedures related to billing and collections. Reporting & Productivity Meet or exceed productivity and quality benchmarks. Identify trends or recurring issues and escalate concerns to leadership. Participate in process improvement initiatives and training programs. Required Qualifications High school diploma or equivalent required; associate degree preferred. 1-3 years of healthcare billing, collections, or patient accounts experience (experience level may vary by organization). Knowledge of healthcare insurance plans, billing processes, and explanation of benefits (EOBs). Basic understanding of Medicare, Medicaid, and commercial payer guidelines. Proficiency with billing systems and electronic health records (EHR). Strong attention to detail and organizational skills. Excellent written and verbal communication skills. Preferred Qualifications Experience in hospital, ambulatory surgery center (ASC), or physician practice settings. Familiarity with CPT, HCPCS, and ICD-10 coding concepts. Experience with denial management and appeals. Certification such as CPB, CRCR, or CPC (preferred but not required). We offer:
Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Career development opportunities within UHS and its 320+ Subsidiaries! SoFi Student Loan Refinancing Program More Information available on our Benefits Guest Website benefits.uhsguest.com Universal Health Services, Inc. , one of the nation's largest and most respected providers of hospital and healthcare services, has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies by Fortune. Headquartered in King of Prussia, PA, UHS has more than 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral facilities, outpatient facilities and ambulatory care access points, and insurance offering, a physician network and various related services located all over the United States, Washington, DC, Puerto Ricco and the United Kingdom. www.uhs.com River Point Behavioral Health , a subsidiary of UHS , is a beautiful, 80-bed adolescent and adult Baker Act receiving facility, which is located in sunny Jacksonville, Florida. Our professional staff provide high quality, individualized care to uniquely fit the intensity and severity of each patient's needs and offer a continuum of mental health and addiction services in a confidential, caring environment that promote crisis resolution, positive self- awareness, personal growth and problem-solving. River Point is open 24 hours a day, seven days a week. For more information about River Point Behavioral Health, please visit our website at www.riverpointbehavioral.com EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS all our subsidiaries, our Human Resources departments and recruiters are here to help perspective candidates by matching skill sets and experience with the best possible career path at UHS and subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g. social security number, credit card, or bank information etc., from you via email) Our recruiters will not email you from public webmail like Hotmail, Gmail, Yahoo mail etc. If you suspect a fraudulent job posting or related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters. Care Provider Background Screening Clearinghouse Education and Awareness website: https://info.flclearinghouse.com Job Type:
Full-time Pay:
$16.00 - $24.00 per hour Benefits:
401(k) Dental insurance Employee discount Flexible spending account Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance Work Location:
In person
