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Patient Account Representative
4 months ago
About Us**:_HEALING THE BODY AND MIND._**
Founded fifteen (15) years ago, NeuroPsychiatric Hospitals is the largest hospital system in the nation providing care to patients with both neurological and medical needs. We are unique in that we serve a population which others have been previously been unable to, largely due the patient’s underlying medial issues. Our facilities maintain an inter-disciplinary focus using a multi-specialty approach for both neuropsychiatric and complex medical care issues. This proven approach provides unrivaled quality care for all of our patients. We have multiple locations throughout the United States and are continuing to add locations to ensure better access to our unique model of care.
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Benefits of joining NPH as a **Patient Account Representative**
- Competitive pay rates
- Medical, Dental, and Vision Insurance
- NPH 401(k) plan with up to 4% Company match
- Employee Assistance Program (EAP) Programs
- Generous PTO and Time Off Policy
- Special tuition offers through Capella University
- Work/life balance with great professional growth opportunities
- Employee Discounts through LifeMart
**Responsibilities**:
- Performs such pre-admitting activities as:
- Screening insurance information to identify patients requiring preadmission approval from third-party payors ; verifying that approval has been obtained
- Explaining hospital policies and answering patient inquiries.
- Notifies certain insurance companies on daily basis of the admission of their subscribers, and logs notification made.
- Coordinates the insurance billing function of the hospital system.
- Performs Billing Clerk and Cashier duties as needed.
- Coordinates and performs insurance follow-up procedures.
- Prepares weekly and monthly reports on third-party billings, accounts pending diagnosis, and late charges.
- Checks to ensure that hospital records for patients include all information required for reimbursement.
- Verifies correct coding to ensure prompt payment.
- Inputs correct billing information and transmits electronically to all insurance carriers.
- Prepares and sends out paper claims as needed.
- Prepares and provides itemized statements as requested by insurance companies, patients, and their representatives.
- Makes adjustments to hospital bills subsequent to approval of CFO.
- Prepares weekly and monthly reports of billing for the Chief Financial Officer as directed.
- Floats to other departments and facilities as assigned and directed.
- Maintains a professional approach with confidentiality. Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
- Displays concern and initiative. Is resourceful and calm in emergencies.
- Is prompt and efficient with mínimal absences.
- Cooperates and maintains good rapport with nursing staff, medical staff, other departments, and visitors.
- Complies with hospital expectations regarding ethical behavior and standards of conduct.
- Complies with federal and hospital requirements in the areas of protected health information and patient privacy.
- Understands and adheres to NPH’s compliance standards as they appear in NPH’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy
- Keeps abreast of all pertinent federal, state and hospital regulations, laws and policies as they presently exist and as they change or are modified.
Qualifications:
- High School diploma or GED. College degree preferred.
- Prefer 3 years of previous Hospital Business Office experience in billing and collections.
- Goal driven and must be able to work in a fast paced environment.
- Must have strong verbal and written communication skills.
- Excellent organization skills and attention to detail. Proven experience billing and collecting for commercial, Medicare, Medicaid and patient payers.
- Effective claim follow up and appeals process.
- Proficient in MS Word and Excel, with familiarity of billing software.
