Patient Account Specialist

3 days ago


Wichita Falls, Texas, United States Acadia Healthcare Full time
Job Summary

We are seeking a highly skilled Patient Account Representative to join our team at Red River Hospital. As a Patient Account Representative, you will play a critical role in ensuring the smooth operation of our revenue cycle process.

Key Responsibilities
  • Call and status outstanding claims with third-party payors
  • Review claims issues and make corrections as needed and rebill
  • Utilize claims clearing house to review and correct claims
  • Review 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
  • 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 system and understand 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
Requirements
  • High school diploma or equivalent required
  • Three or more years' prior admissions and or collections experience in a hospital setting required
  • Psychiatric experience preferred
About Us

Red River Hospital is the leading provider of inpatient and outpatient behavioral healthcare in Wichita Falls, TX. Our treatment services and specialized programs address drug and alcohol addiction and co-occurring mental illness. We are a private inpatient 96-bed acute psychiatric facility dedicated to the treatment of behavioral health and substance abuse services.


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