Patient Account Representative - Riverside, United States - Pacific Grove Hospital
Description
We offer a full of benefits ranging from:
- Competitive Salary
- Paid Time Off
- Paid Holidays (8 Total)
- Medical, Dental, & Vision Insurance
- FSA & HSA Plans
- Long-Term & Short-Term Disability
- Company Paid Life Insurance
- Supplemental Life Insurance
- Employee Assistance Program
- Employee Discount Program
- 401(k) Retirement Plan with Company Match
Hourly Range:
$22.00-$27.00 DOE
- Pacific Grove Hospital, is a nationally recognized 68 bed acute psychiatric and chemical dependency treatment center offering inpatient & outpatient services for psychiatric illnesses, addictions & cooccurring disorders. Our hospital offers comprehensive training, dynamic leadership, and personalized support so you can achieve your greatest potential._
Patient Responsibilities include:
- 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 3040 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 timesensitive and strategic steps resulting in payment.
- Assist financial counselors as needed.
- Alert Financial Counselors and Business Office Director/Manager of all benefit eligibility matters that suggest or challenge reimbursement.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- High school diploma or equivalent required.
- Three or more years' prior admissions and or collections experience in a hospital setting required.
- Psychiatric experience preferred.
- Experience with insurance verifications required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Not applicable
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
41 CFR c)
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