Job Summary:

The Patient Accounts (Customer Services) Representative position supports the reduction of Accounts Receivables for the Patient Financial Services department. The Representative may also perform a variety of duties including assisting patients directly with their bill or other financial aspects of their care, correspondence response, billing and re-billing, certain denial issues, prompt handling of Accounts Receivable credits and trend monitoring. Under limited supervision, determines liability on patient accounts, and works with patients or their representatives to provide financial assistance or secure payment. Facilitates processing of Medicaid and other financial assistance application and initiates eligibility determination for Health System's charity care fund.

Essential Functions:

• Take actions that will support maximization of collection of balances due or account resolution from all sources. Meets Quality and Productivity expectations
• Facilitate account resolution. Accurately identify, follow-up on, or correct billing errors, lower than expected reimbursement, or denials for correction for submission or resubmission to patients and/or insurance carriers. Accurately perform actions on accounts that will result in the least amount of time and effort to bring an account to resolution based on job specific priority matrix
• Timely identify, research, and resolution any issues that may cause delays in payment or account resolution. Identify and recommend opportunities to improve collections and follow-up activities
• Work collaboratively across teams, with peers, and revenue cycle departments

Job Requirements:

• HS diploma
• Bilingual- Spanish and English (Please indicate on application/resume)
• 1-2 years’ experience in healthcare insurance billing or account follow-up
• Strong knowledge of Patient Accounting systems
• Strong customer service skills
• Must be able to work in a team environment that requires quick turnaround and quality output

Preferred:

• Prior experience with Medicaid and Charity Care

Scheduling Requirements:

• Full-time
• Every other week rotating schedule, must be able to work both schedules
• Monday-Friday 9:00am-5:00pm
• Tuesday-Saturday 10:30am-6:30pm
• Rotating holiday requirement

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.