Under general supervision of the Business Office Director, the Patient Account Representative administers a collections program for the collection of patient’s accounts receivable; meets with patients daily to discuss financial obligation and will provide patient account services to include verifying patient insurance benefits/eligibility, create financial charts, obtain required patient signatures and collect any due patient charges; manages the computerization of collection systems; performs related duties as required. Work standards will be in accordance with facility policies and procedures, JCAHO, Federal and State regulations, Greenleaf Center’s mission, and performance improvement standards. 

PERFORMANCE STANDARDS

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 duties as assigned

DEMONSTRATES PROFESSIONALISM, moral, ethical behavior and work values.

DESIRABLE MINIMUM QUALIFICATIONS:

High school diploma or equivalent required.  Three or more years’ prior admissions and or collections experience in a hospital setting required. Psychiatric experience preferred.

SPECIAL SKILLS AND KNOWLEDGE REQUIREMENTS:  Advanced knowledge of delinquent account collection methods; knowledge of accounts receivable and revenue accounting principles; ability to communicate effectively orally and in writing.

 

PHYSICAL REQUIREMENTS: Sitting for long periods of time with occasional standing and walking. The position also requires:

Reaching

Extending the hands and arms in any direction.

Handling

Seizing, holding, grasping, turning, or otherwise working with the hand or hands.

Fingering

Picking, pinching, and otherwise working with the fingers primarily.

Feeling

Perceiving such attributes of objects and materials as size, shape, temperature or texture by means of receptors in the skin, particularly those of the fingertips.

Talking

Expressing or exchanging ideas by means of the spoken word.

Hearing

Perceiving the nature of sounds by the ear.

Seeing

Obtaining impressions through the eyes of the shape, size, distance, motion, or other characteristics of objects. The major visual functions are: (a) acuity – far and near; (b) depth perception; (c) field of vision; (d) accommodation; (e) color vision.  The functions are defined as follows:

Acuity – far clarity of vision at 20 feet or more

Acuity – near clarity of vision at 20 inches or less.

Depth perception three-dimensional vision – the ability to judge distance and space relationships so as to see objects where and as they actually are.

Field of vision – the area that can be seen up and down or to the right or left while the eyes are fixed on a given point.

Accommodation - adjustment of the lens of the eye to bring an object into sharp focus. This item is especially important when doing near-point work at varying distances.