Patient Account Representative
4 weeks ago
Patient Account RepresentativeSeven Hills Hospital is a growing, private, 134-bed psychiatric hospital dedicated to providing high-quality care for adults, geriatrics, and adolescents (ages 11-17) who are suffering from behavioral health and chemical dependency issues. Our patients recover at our new, state-of-the-art medical facility in the Seven Hills area of Henderson, Nevada. Henderson is one of the fastest growing cities in the US and is located just 7 miles from the famed Las Vegas Strip and a couple of miles from beautiful Lake Mead. Seven Hills Hospital is part of Acadia Healthcare system, a provider of behavioral health services throughout the US. Join the team of highly dedicated professionals. We are presently looking for a Full Time Patient Account Representative who will report to the Business Office Director and be responsible for gathering and transmitting insurance/billing information to Admissions Department and Business Office; counseling with patients regarding their financial rights and obligations, making payment arrangements when necessary; prepares administrative and charity adjustments. May require to work some weekends.Key Functions:Call and status outstanding claims with third-party payors.Review claims issues and make corrections as needed and rebill.Utilize claims clearinghouse to review and correct claims. Resubmit electronically when available.Review the 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 the 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.Qualifications: Education: High School Diploma or GED Experience: + Computer Literacy in Word, Excel, and the Internet. + Strong communication skills + Problem-solving skills + Critical and analytical thinking skills + Must have at least 2 years of related experience, preferably in a hospital setting.Seven Hills Hospital offers competitive compensation and benefits package including medical, dental, vision, leave benefits, life insurance, and a 401k plan. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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