Patient Account Representative

4 weeks ago

Granite City, United States Gateway Regional Medical Center Full time
Job DescriptionJob Description

We are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.

We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities.

WHAT WE OFFER

  • Essential/stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members (including Full-Time and Part-Time) can benefit from.
  • Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time).
  • Comprehensive Employee Benefits: Full-Time employees are eligible for various plans for medical, dental, and vision insurance.

Job Objective:

Under the supervision of the Director of Revenue Cycle, or designee, performs patient account insurance follow-up, credit balance review and resolution, keeping the hospital's accounts receivable as accurate as possible.

Duties and Responsibilities:

  1. Insurance Follow-up, as assigned
    1. Review claims on-line as offered by individual payors to ensure timely processing
    2. Contact insurance carriers by phone regarding outstanding balances, as needed
    3. Resubmit claims to insurance carriers, as needed
    4. File appeals on technical denials and/or claim disputes, as needed
    5. Validate accounts for accurate payments, discounts, and contractual adjustments, correcting them, as needed
    6. Reply to insurance carrier correspondence in a timely matter
    7. Answer in-coming calls resolving insurance issues in a timely matter

  1. Credit Balance Process and Review, as assigned
    1. Review all credit balance accounts for incorrect contractual adjustments, correcting them as needed.
    2. Respond in writing to insurance companies' refund requests in a timely matter to avoid inappropriate recoupments.

Non-Essential Duties:

Assist with other duties as assigned, within skill sets and abilities

Knowledge

Working knowledge of HMO, PPO, Commercial, and Workers' Compensation reimbursement

Working knowledge of Managed Care contract language and interpretation

Education

High School graduate or equivalent

Experience

Minimum 1-year previous Commercial, HMO, PPO, and Workers Compensation billing and/or

Insurance follow-up experience

Will consider 2-years recent acute care hospital Business Office experience



  • Patient Accounts Representative

    1 week ago

    Kansas City, Missouri, United States Saint Luke's Health System Full time

    Job Description​Patient Accounts Representative is responsible for reviewing, billing, collection, and accounts receivable activities for the hospital (and in some cases the physician) billing departments within Saint Luke's Health System. Activities include, but are not limited to, entering demographics, troubleshooting issues, responding to inbound and...

  • Patient Accounts Representative

    1 week ago

    Kansas City, United States Saint Luke's Health System Full time

    Job Description ​ Patient Accounts Representative is responsible for reviewing, billing, collection, and accounts receivable activities for the hospital (and in some cases the physician) billing departments within Saint Luke's Health System. Activities include, but are not limited to, entering demographics, troubleshooting issues, responding to...

  • Patient Accounts Representative

    4 days ago

    Kansas City, United States Saint Luke's Health System Full time

    Job Description​Patient Accounts Representative is responsible for reviewing, billing, collection, and accounts receivable activities for the hospital (and in some cases the physician) billing departments within Saint Luke's Health System. Activities include, but are not limited to, entering demographics, troubleshooting issues, responding to inbound and...

  • Sales Representative

    3 weeks ago

    Phenix City, United States Alfa Insurance Sales Representative Full time

    Job DescriptionJob DescriptionBenefits/PerksAnnual incentive reward trip for top performers to beautiful destinations in the southeastOpportunity for annual performance bonusDiscounts on your auto insurance (underwriting approval required)Benefits include: Health, dental, supplemental cancer, vision insurance, and 401(k) plan,Paid time off bank including 3...

  • Patient Accounts Representative

    3 weeks ago

    Kansas City, Missouri, United States Saint Luke's Health System Full time

    Job Description​Functions independently following established patient accounts receivable processes and policies for billing follow up reimbursement and customer service. Utilizes extended resources to solve issues. Assists with coworker training. Volunteers to work on special projectsJob RequirementsApplicable Experience:Less than 1 yearJob DetailsFull...

  • Senior Patient Account Representative

    2 weeks ago

    Oklahoma City, United States OU Health Full time

    Position Title:Senior Patient Account Representative - OUHP Revenue IntegrityDepartment:OUHP Revenue IntegrityJob Description:General Description: Under general supervision, may participate in any or all aspects of the patient processing and accounts receivable functions of the organization including billing, charge entry, collection, registration,...

  • Accountant

    5 days ago

    Granite City, United States Gateway Regional Medical Center Full time

    Job DescriptionJob DescriptionWe are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...

  • Accountant

    3 weeks ago

    Granite City, United States Gateway Regional Medical Center Full time

    Job DescriptionJob DescriptionWe are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...

  • Patient Access Supervisor

    4 weeks ago

    Granite City, United States Gateway Regional Medical Center Full time

    Job DescriptionJob DescriptionWE ARE GATEWAY REGIONAL MEDICAL CENTER!Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...

  • Patient Service Representative

    6 days ago

    Oklahoma City, United States US Derm Support Roles Full time

    Overview Come join our team! We have an immediate need for a Patient Service Representative in our Oklahoma City clinic! If you are ready to make an impact every day, and thrive in a fast-paced environment, then a career at Forefront may be the perfect fit for you! Summary The Patient Service Representative is responsible for the patient check-in process,...

  • Patient Service Representative

    2 days ago

    Oklahoma City, United States US Derm Support Roles Full time

    Overview Come join our team! We have an immediate need for a Patient Service Representative in our Oklahoma City clinic! If you are ready to make an impact every day, and thrive in a fast-paced environment, then a career at Forefront may be the perfect fit for you! Summary The Patient Service Representative is responsible for the patient check-in process,...

  • PATIENT CARE REPRESENTATIVE

    5 days ago

    Johnson City, TN, USA, United States East Tennessee State University Full time

    This position is located at Bristol Family Medicine. The Department of Family Medicine is accepting applications for a Patient Care Representative. The Patient Care Representative works under the general supervision of the Center Manager performing m Patient Care, Representative, Patient, High School, Healthcare, Education

  • Patient Access Representative

    1 week ago

    Oklahoma City, United States Mercy Full time

    We're a Little DifferentOur mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine...

  • Patient Access Representative

    3 weeks ago

    Oklahoma City, United States Mercy Full time

    We're a Little DifferentOur mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine...

  • Patient Access Representative

    1 week ago

    Oklahoma City, United States Mercy Full time

    We're a Little DifferentOur mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine...

  • Patient Access Representative

    1 week ago

    Oklahoma City, Oklahoma, United States Mercy Full time

    We're a Little DifferentOur mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine...

  • Patient Access Representative

    7 days ago

    Oklahoma City, Oklahoma, United States Mercy Full time

    We're a Little DifferentOur mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine...

  • PATIENT ACCESS REPRESENTATIVE

    5 days ago

    Jersey City, NJ 07308, USA, United States RWJBarnabas Health Full time

    Patient Access RepresentativeReq #:0000147227Category:Clerical / Administrative SupportStatus:Full-TimeShift:DayFacility:Jersey City Medical CenterDepartment:Patient Access ServicesLocation:Jersey City Medical Center, 355 Grand Street, Jersey CIty, NJ 07302Job Overview:The Patient Access Representative position plays a key role in the health system in...

  • Patient Service Representative

    1 week ago

    Johnson City, United States PT CENTERED MEDICAL HOME Full time

    Patient Service Representative (FT) Patient Centered Medical Home Job ID: 004B0I BLUE RIDGE MEDICAL MANAGEMENT Office/Clerical - PT CENTERED MEDICAL HOME Full-time (scheduled 72 hrs or more per pay period) - Day Job Description SCOPE OF POSITION The Patient Service Representative (PSR) greets all patients and visitors in a courteous and friendly manner and...

  • Patient Service Representative

    2 weeks ago

    Johnson City, United States PT CENTERED MEDICAL HOME Full time

    Patient Service Representative (FT) Patient Centered Medical Home Job ID: 004B0I BLUE RIDGE MEDICAL MANAGEMENT Office/Clerical - PT CENTERED MEDICAL HOME Full-time (scheduled 72 hrs or more per pay period) - Day Job Description SCOPE OF POSITION The Patient Service Representative (PSR) greets all patients and visitors in a courteous and friendly manner and...