Patient Accounts Representative

2 weeks ago

Jamestown North Dakota, United States Jamestown Regional Medical Center Full time

Overview:

Starting Pay:
$18.62 to $21.88 DOE

Full-time, benefited position working 80 hours per two week pay period. Days of work are Monday - Friday from 8 am - 4:30 pm.


The Home Health Patient Accounts Coordinator is responsible for all receptionist and clerical duties of the agency, in addition to a variety of duties related to registration and verification of patient accounts.

This responsibility includes obtaining and maintaining insurance authorization, verification of payers, communication of registration and insurance information to department staff, and responsibility of quality review work queues to ensure accuracy and decrease risk of insurance claims denials.

This position requires understanding of Home Health and Hospice regulatory requirements including admission criteria, registration process, and payment requirements.

Responsibilities:
Accurately intakes/registers patients for Home Health, Hospice, and private duty services.

Verifies patient insurance information with insurance companies to determine eligibility, type of coverage, and primary payer upon referral.

Obtains and enters the pre-authorizations for Home Health and Hospice care.


Requests additional authorization for existing home care patients as needed throughout episode of care in collaboration with RN Clinical Coordinators and Billing Specialist.

Utilizes various software applications required by payers to request and obtain authorization for services.

Acts as a liaison with payers/organizations to ensure efficient and professional exchange of information.


Maintains current knowledge of payer requirements and contact information, to include Veteran's Administration, Medicaid, Medicare/Medicare Advantage plans, and all private/commercial insurances.

Participates in department meetings and daily/weekly huddles as required.

Assists patients with questions regarding their home health or hospice insurance coverage.

Responsible for identified Home Health and Hospice work queues, checking for accuracy and completeness.

Verifies all registration or admissions of patient accounts are correctly completed.


Maintains communication and promotes cooperation with Home Health and Hospice staff and other departments as needed in regards to patient accounts, including maintenance of current patient census with authorization information.

Responsible for reporting of monthly department statistics

Works on PC including Microsoft programs (Word, Excel, Outlook).

Maintains registration proficiency program.

Assists supervisor and manager with quality reviews.

Performs other related duties as assigned or requested.

Will assist with departmental policies and procedures.

Acts as liaison between Home Health Agency and outsourced coding company. Uploads, monitors, and retrieves documents daily.


Assists billing specialist with preparation of patient charges and billing of Home Health/visits and enters charges into agency and hospital systems as assigned.

Assists with computer processing of claims, downloading information, electronic transmission, and hard copy billing, as well as performing internal audit of charge record, and correcting and obtaining any additional information that may be required.


Prepares, maintains, and disassembles physical patient charts, including labeling and submission of specific documents for scanning into the EMR as assigned.

Prepares a variety of statistical and administrative reports, statements, and rosters.

Acts as a receptionist by screening telephone calls and visitors for department staff, routing calls and messages appropriately.

Assists patients, volunteers and visitors as needed.

Performs clerical functions including recordkeeping and filing. Classifies, sorts, and files correspondence, records, and other documents.

Prepares data for photocopying, printing, transparencies, etc., collation and distribution.

Maintains department equipment and supplies.

Assigns and registers remote patient monitoring units to Clients.

Provides assignments and direction to volunteers and Home Health Aides who assist in office related procedures.

Qualifications:
High School Diploma with proficiency in medical terminology, medical billing, or home health and hospice experience preferred.

One year medical office experience and insurance background is required. Proficiency in a variety of computer programs.

Background check is required for this position.

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