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MH
Mon Health
Patient Accounting Lead -- PATIENT FINANCIAL SERVICES -- Hartman Run Road
Career Insights for Registrar / Patient Service Representative
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Based on West Virginia data
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What they do
A Registrar or Patient Service Representative provides direct assistance to patients at a health care or long term care facility. Answers questions and helps resolve complaints; provides liaison with health care providers; may assist with coordinating appointments or addressing billing or insurance issues.
$43,030 / year median in West Virginia
+10% projected growth
Job Description
Job Summary With a patient centered culture, the Revenue Cycle Lead provides a positive experience for our patients andcustomers by managing the patient accounts during pre and post claims processing. This management includes accurate claim submission with payee guidelines, timely accounts, follow- up and assistance with denial management issues to ensure the financial viability of Mon Health. Responsibilities Lead Assists customer service representatives with call de-escalation and resolution. First point of contact for billing questions, payer issues, and appeals direction. General knowledge of all third party payer contracts, and federal regulations.
General knowledge of all functions in Patient Accounting for clarification of content /process/workflow. Escalates unresolved issues to Management as deemed appropriate through direction. Provides coverage where and when necessary. Provides feedback department Supervisor/Director for annual performance review. Performs other duties as assigned. Account Management Maintains knowledge of revenue cycles operations, third-party reimbursement by local/state/federal payers. Customer Service Ensures that patients, family members and customers are given exceptional service during their patient registration process. Takes actions to resolve patient conflicts in a manner that is best for the organization and the individual(s) involved. Speaks in a clear and concise manner, selects the right tone and displays appropriate body language for the situation and audience while demonstrating active listening skills. Demonstrates an awareness of, and sensitivity to, the needs and concerns of individuals from different cultures. Quality/Accuracy Applies all codes according to established coding guidelines with an accuracy rate as determined and established by department policy or guidelines. Time Management Meets productivity standards that have been established for the position and/or department. Prioritizes multiple tasks. Completes assignments per protocol or as directed. Embraces new and innovative approaches that will improve efficiency. Understanding Roles and Responsibilities Takes responsibility for clarifying job responsibilities, including the need to understand performance standards and other expectations. Communicates with supervisor regularly to ensure that there is no misunderstanding about how performance will be measured and how expectations relate to the job. Seeks clarification as needed or when responsibilities are not understood. Willingly accepts change.
General knowledge of all functions in Patient Accounting for clarification of content /process/workflow. Escalates unresolved issues to Management as deemed appropriate through direction. Provides coverage where and when necessary. Provides feedback department Supervisor/Director for annual performance review. Performs other duties as assigned. Account Management Maintains knowledge of revenue cycles operations, third-party reimbursement by local/state/federal payers. Customer Service Ensures that patients, family members and customers are given exceptional service during their patient registration process. Takes actions to resolve patient conflicts in a manner that is best for the organization and the individual(s) involved. Speaks in a clear and concise manner, selects the right tone and displays appropriate body language for the situation and audience while demonstrating active listening skills. Demonstrates an awareness of, and sensitivity to, the needs and concerns of individuals from different cultures. Quality/Accuracy Applies all codes according to established coding guidelines with an accuracy rate as determined and established by department policy or guidelines. Time Management Meets productivity standards that have been established for the position and/or department. Prioritizes multiple tasks. Completes assignments per protocol or as directed. Embraces new and innovative approaches that will improve efficiency. Understanding Roles and Responsibilities Takes responsibility for clarifying job responsibilities, including the need to understand performance standards and other expectations. Communicates with supervisor regularly to ensure that there is no misunderstanding about how performance will be measured and how expectations relate to the job. Seeks clarification as needed or when responsibilities are not understood. Willingly accepts change.