Patient Receivable Representative
3 weeks ago
We are seeking a highly skilled Patient Receivable Representative to join our team at Stamford Health. As a key member of our revenue cycle team, you will be responsible for processing and following up on all non-government variances, including debits and credits. You will handle inquiries from patients, third parties, and agencies regarding services received or account status. Your attention to detail and excellent communication skills will ensure accurate and compliant billing and payments for all third-party payer patient claims.
Responsibilities- Ensure prompt, accurate, and compliant billing and payments for all third-party payer patient claims.
- Accurate billing and/or follow-up of patient accounts according to established departmental guidelines based on regulation requirements for specific insurance carriers.
- Monitor and reconcile daily reports as well as assigned worklists for appropriate account resolution, including credit, debit, and adjustments.
- Document all actions taken on an account.
- Complete all assigned projects.
- Maintain department standards of productivity.
- Analyze variances and contracts to recover underpayments and resolve outstanding accounts receivable.
- Analyze all accounts and contact the appropriate party for unpaid accounts, updating all accounts accordingly.
- Provide excellent customer service skills and serve as an advocate for patients in explaining third-party payer coverage, referral, and pre-certification requirements.
- Provide timely and accurate information regarding patient data/status to other health system departments, physicians, physician office staff, and other publics while ensuring patient confidentiality is not breached.
- Perform other related duties as assigned or requested to maintain a high level of service.
- Demonstrate professional work behavior by following Service Standards and Success factors.
- Trend variances by payer to present to management during team meetings.
- Review proration to determine if contract loaded inappropriately.
- Analyze and identify variances to determine if payer or hospital has misinterpreted contract terminology.
We are looking for a candidate with a strong background in revenue cycle and excellent analytical, interpersonal, and communication skills. A two-year college degree or two years of prior equivalent experience in a hospital setting is required. Computer literacy in a PC environment is also necessary.
We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.
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Patient Receivable Representative
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