Patient Accounts Representative - Worcester, United States - Hospital for Behavioral Medicine

Hospital for Behavioral Medicine

Verified Company

Worcester, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

JOIN OUR TEAM AS A PATIENT ACCOUNTS REPRESENTATIVE

Your Work Matters **_How will you make a difference? _

This Patient Accounts Representative is responsible for posting all payments received from patients, insurance companies and third parties and will document payments into the patient accounting system.

The position is located in a central business office environment for a freestanding psychiatric hospital organization.

The Patient Accounts Representative is responsible for assisting with the timely follow-up and collection of behavioral health and chemical dependency claims for Inpatient and Outpatient levels of care to ensure the reimbursement of claims from various insurance companies.

_ PRIMARY RESPONSIBILITIES_

Pull remits manually and electronically for deposits daily.
Accurately post payments and/or denials via ERA, EFT, and paper remits appropriately to accounts and balance payments posted back to the original deposit amounts.
Identify payor issues proactively in relation to zero payment, payment variance, billing, and denials with a high degree of accuracy and report to Management.
Maintain and balance cash log daily to treasury.
Researches and resolves unapplied and/or unidentified cash receipts.
Identifies allowances, deductibles and coinsurance and ensures accurate posting.
Scans and uploads supporting documentation as needed.
Investigates all insurance recoupments to determine if they are correct or need to be appealed.
Runs electronic deposit reports and processes payments.
Review and interpret insurance carrier explanation of benefits (EOB) to post appropriate payment and denial codes.
Enter/correct charges for outpatient services.
Code and post all receivables from insurance companies, and thirdparty payors on patient accounts.
Adheres to Confidentiality and HIPAA Privacy and Security Policies and Procedures.
Identify payor issues proactively in relation to zero payment, payment variance, billing, and denials with a high degree of accuracy and report to Management.
Performs account followup on outstanding balances and takes the necessary action for account resolution in accordance with established federal and state regulations.
Knowledge of professional fee billing, reimbursement and thirdparty payer regulation and medical terminology is required.
Ensure the coordination of claim activities on various insurance portals and via phone to check claim status and resolve claim issues.
Assist to resolve credit balances with insurance company & patients.
Research and resolve insurance denials.
Identify reason for claim rejections and complete proper action to ensure timely billing.
Maintain thirdparty logs.
Assist daily with benefit verifications for all new admissions as well as inhouse patients.
Update MedHost with accurate patient information to ensure that all data is accurate for clean claim billing.
Able to read and understand an EOB.

Your Experience Matters_ What we're looking for:_
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_ Education & Licensure (if applicable): _High school graduate or equivalent preferred.
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_ Experience: _A minimum of one (1) years' experience in facility billing experience with knowledge of Medicare DDE and computerized systems strongly preferred, or related field, or any combination of education, training, or experience in a health care business office environment. Experience with insurance billing, computer and business software programs (Excel) preferred.
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Additional Skill Requirements:
_Knowledge of Microsoft Office including word, excel, and outlook. Excel-lent communication skills and a professional demeanor is needed.

Detail oriented and possessing strong time management skills is necessary in order to manage multiple priorities in a fast-paced environment.

May be required to work occasional overtime and flexible hours.

Your Care Matters **_What we provide for our team:_

401(k) + matching
Health insurance

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100% company-paid life insurance coverage up to 2x your annual salary:

Vision insurance
Dental insurance

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100% company-paid long term disability insurance:

Paid time off
Paid holidays
Cafeteria on site +
discounted meals:
Employee engagement events
Employee assistance program
Employee recognition program
Free parking

What sets us apart?

Career & training development opportunities
Dynamic and inclusive work environment
Engaged management team dedicated to your success
A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations

Compensation:

Get to know us _Outstanding Care, Compassionate People, Unparalleled Service_

Discover a fulfilling career at
Hospital for Behavioral Medicine (HBM)

Welcome to the heart of mental health treatment innovation in Worcester, MA HBM, a cutting-edge 120-bed inpatient facility, is the leading provider of exceptional therapeutic care,