PATIENT ACCOUNT REPRESENTATIVE 4
3 weeks ago
The Patient Accounts Representative 4 performs an important function in the revenue cycle of the Health System. This role is production based and works an assigned queue to coordinate with patients, co-workers and external agencies to ensure the prompt payment and/or reimbursement of hospital and professional charges. The Patient Accounts Representative is responsible for the customer service, billing and collection functions in the Business Office. Key tasks include reviewing accounts on EPIC system, providing information requested and applying critical thinking to resolve issues between balances and/or credits belonging to managed care vs the patient. This role responsible for collections on delinquent insurance and patient balances and for working credit balance reports, posting payments and adjustments, and filing claims and appeals denials with managed care companies. Must meet minimum performance and quality measures. This role is leverages years of experience
Requirements :
- Experience : 8 years experience in Revenue Cycle / Hospital Business Office programs (Customer Service, Billing, Follow-up) or equivalent industry experience.
- Related certification program in areas such as billing, medical office, coding and accounting can be substituted for 1 year of experience.
- Bachelor's Degree can substitute for 4 years of experience; Associate's Degree can substitute for 2 years of experience.
- Education : High School diploma or equivalent
- Special Skills : Must possess knowledge of ICD-9/10, CPT and HCPCS coding.
- Apply critical thinking and problem solving skills as it relates to resolving accounts.
- Must understand the explanation of benefits of various managed care companies and regulations.
- Must be able to demonstrate teamwork and willingness to work in cooperation and support of others as well as comply with FMOLHS policies, procedures and core values.
- Communication, interpersonal and collaboration skills.
Job Standards :
1. Execute Business Office Operations and Functions
- Performs billing, collections, payment processing and/or customer service tasks according to documented process, applying critical thinking to determine appropriate outcomes based on the situation.
- Updates account with ownership and accountability of the entire account at that point in time; Notes should be sufficient and complete to describe current situation and next steps.
- Leverages contract knowledge and expertise to drive revenue
- Evaluates root cause and resolves issues on that specific account being worked in timely manner to maximize revenue flow, minimize write-offs and maintain customer satisfaction
- Completes most transactional updates with one interaction; completes majority of work independently including most of the complex scenarios and collaborates with other internal departments and external entities as appropriate
- Identifies patterns, trends in account issues and escalates as appropriate so root cause can be addressed and improved.
- Maintains subject matter expertise on regulations, process and policies by attending training and applying in daily work
- Consistently meets production and quality requirements for area, driving overall department objectives for A/R, Claim Counts and past dues.
- Responds to requests (from customers, co-workers, management) in a timely and professional manner.
- Assists with planning and participates in internal and external meetings as a representative of department
- Serves as a subject manager expert to other team members.
- Provides training / shadowing support for new team members
- Identifies areas for improvement or fixes to system edits / processes and communicates to appropriate owner to resolve issues
- Collaborates with Payor Relations and Vendors over contract issues; researches Payor issues, coordinate to resolve payment and reimbursement issues
- Creates & updates workflows, using SME knowledge and insight on trends identified to drive process improvements
- Leads special projects / updates
-
Patient Services Representative
1 week ago
Baton Rouge, United States Cardiovascular Institute of the South Full timeNature of Duties:Performs a variety of medical office duties ranging from patient check-in/out, appointment scheduling, managing medical records, handling payments, and correspondence.Qualifications:1. High school diploma2.Knowledge of patient scheduling techniques/insurance & billing preferred.3. Good communication and customer service skills.4. Ability to...
-
Patient Services Representative
2 weeks ago
Baton Rouge, United States Cardiovascular Institute of the South Full timeNature of Duties: Performs a variety of medical office duties ranging from patient check-in/out, appointment scheduling, managing medical records, handling payments, and correspondence. Qualifications: 1. High school diploma 2.Knowledge of patient scheduling techniques/insurance & billing preferred. 3. Good communication and customer service skills. 4....
-
Patient Access Representative 1
1 month ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeJob DescriptionJob Title : Patient Access Representative 1 - Hospital Job Summary : The Patient Access Representative 1 (PAR1) is responsible for accurately registering inpatients, outpatients, and/or ER patients in the EMR, including validating patient information, verification of insurance coverage, calculation of and collection of patient...
-
Patient Access Representative 2
6 days ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeThe Patient Access Representative 2 (PAR 2) facilitates a welcome and easy access to the facility and is responsible for establishing an encounter for any patient who meets the guidelines for hospital service. The PAR 2 ensures that all data entry is accurate, including demographic and financial information for each account. The PAR 2 has numerous procedural...
-
Accountant 4
1 month ago
Baton Rouge, United States State of Louisiana Full timeTo provide specialized professional accounting services to an agency. Level of Work:Advanced. Supervision Received:Generally from an Accountant Manager or higher-level fiscal/administrative position. Supervision Exercised:May supervise one lower leve Accountant, Accounting, Manager
-
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeJob Description Job Title : Patient Access Representative 1 - Clinic Job Summary : Responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Experience, Education, Training, Special...
-
Medical Customer Service Representative
6 days ago
Baton Rouge, United States Patient Plus Urgent Care Full timeAnswer inquiries and provide information to the general public, customers, visitors, and other interested parties regarding services provided at the offices. Perform administrative duties using specific knowledge of medical terminology and practice, Customer Service Representative, Medical, Customer Service, Representative, Retail, Healthcare
-
Patient Services Representative
2 weeks ago
Baton Rouge, United States Baton Rouge General Full timeDescriptionJOB SUMMARYAs a Patient Services Representative, you will play a pivotal role in providing exceptional customer service to patients and facilitating efficient communication between healthcare professionals. If you have a passion for assisting individuals in a healthcare setting and possess strong communication skills, this role offers an...
-
Patient Access Representative 2
3 days ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeJob Description Job Title : Patient Access Representative 2 - PBC Job Summary : Responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Serves as subject matter expert in processes and...
-
Patient Services Representative
3 days ago
Baton Rouge, United States Baton Rouge General Full timeDescription JOB SUMMARY As a Patient Services Representative, you will play a pivotal role in providing exceptional customer service to patients and facilitating efficient communication between healthcare professionals. If you have a passion for assisting individuals in a healthcare setting and possess strong communication skills, this role offers an...
-
Attorney 4
2 weeks ago
Baton Rouge, United States State of Louisiana Full timeOffice of Juvenile Justice Central Office 7919 Independence Blvd Baton Rouge, LA 70806 This vacancy is located in the Legal section at Central Office in Baton Rouge, LA. The Office of Juvenile Justice will receive a list of eligible applicants ONLY from the people who respond to this posting. To apply for this vacancy, click on the "Apply"...
-
Patient Access Representative 2
2 weeks ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeResponsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Serves as subject matter expe Clinic, Patient Access, Pediatric, Representative, Development, Patient, Healthcare
-
Patient Navigator
19 hours ago
Baton Rouge, United States Open Health Care Clinic Full timeJob DescriptionJob DescriptionRole and Responsibilities:The Patient Navigator provides peer support to individuals living with HIV/AIDS and their families to promote increased client involvement in their medical care.Key Responsibility Areas:1. Satisfies Core Competencies• Accepts responsibility for ensuring that performance meets the standards of the...
-
Patient Navigator
6 days ago
Baton Rouge, United States Open Health Care Clinic Full timeJob DescriptionJob DescriptionRole and Responsibilities:The Patient Navigator provides peer support to individuals living with HIV/AIDS and their families to promote increased client involvement in their medical care.Key Responsibility Areas:1. Satisfies Core Competencies• Accepts responsibility for ensuring that performance meets the standards of the...
-
Medical Customer Service Representative
1 week ago
Baton Rouge, United States Patient Plus Urgent Care Full timeJob DescriptionJob DescriptionDescription:Answer inquiries and provide information to the general public, customers, visitors, and other interested parties regarding services provided at the offices. Perform administrative duties using specific knowledge of medical terminology and practice, clinic, or laboratory procedures. Schedule and register patients for...
-
Patient Navigator
1 week ago
Baton Rouge, United States Open Health Care Clinic Full timeJob DescriptionJob DescriptionJob Purpose:The Patient Navigator provides peer support to individuals living with HIV/AIDS and their families to promote increased client involvement in their medical care. Essential job functions including, but not limited to:1. Satisfies Core Competencies· Accepts responsibility for ensuring that...
-
Patient Navigator
2 days ago
Baton Rouge, United States Open Health Care Clinic Full timeJob DescriptionJob DescriptionJob Purpose:The Patient Navigator provides peer support to individuals living with HIV/AIDS and their families to promote increased client involvement in their medical care. Essential job functions including, but not limited to:1. Satisfies Core Competencies· Accepts responsibility for ensuring that...
-
Staff Accountant
2 weeks ago
Baton Rouge, United States Mary Bird Perkins Cancer Center Full timeMary Bird Perkins Cancer Center is Louisiana's leading cancer care organization, caring for more patients each year than any other facility in the region. And with strategic hospital and physician partnerships, we are delivering on our mission to improve survivorship and lessen the burden of cancer. Mary Bird Perkins and its partners work together to...
-
Call Center Representative
5 days ago
Baton Rouge, United States Contemporary Staffing Solutions Full timeJob DescriptionJob DescriptionContemporary Staffing Solutions is seeking an experienced Call Center Representative to join our client for a 100% remote opportunity! The Call Center Representative will be responsible for providing customer service and processing for account-based employee benefit plans within our client's service center teams. This role...
-
Customer Service Representative
3 days ago
Baton Rouge, United States Premier Health Consultants Full timeJob Type Full-time Description The Customer Service Representative (CSR) provides high quality patient-focused services to ensure that the individual needs and desires of the patient's customer services encounter are met, regardless of age or gender, on a continuing basis by performing the duties outlined below. The CSR position is extremely important as...
