Patient Account Specialist

Job Description

Job Description

Description :

The Patient Accounts Representative completes the download of claims to the external billing system. Requests refunds from proper entities. Assists patients with inquiries regarding their accounts and other billing issues. Normally scheduled Monday through Friday.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Supports and promotes an environment conducive with the Mission, Vision, and Values of the hospital.
• Completes billing edits so that claims will drop from hospital billing system within required timeframes.
• Completes download of claims to the external billing system
• Prepare Medicare Credit Balance Report quarterly.
• Review credit balances, check for multiple accounts before processing and prepare required documentation for requesting refund when applicable.
• Document all work on an account at the time the activity is completed.
• Answers patient / insurance company billing questions in a professional and courteous manner
• Respond to written communication from guarantors or payers on the day it is received.
• Review payer billing and payment information when it is received, update procedures and protocols when necessary.
• Maintain orderly condition of assigned work area.
• Maintain confidentiality of all patients, hospital, and physical related information
• Reports Comp Data timely
• Completes monthly Contract Billing process for local SNF facilities.
• Is knowledgeable of general hospital and department specific policies and procedures.
• Other duties may be assigned and are subject to change with or without prior notice.

OTHER RESPONSIBILITIES

(The above statements describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned, as required, by Hillsboro Health.)

SUPERVISORY RESPONSIBILITIES

None

Requirements :

EDUCATION AND / OR EXPERIENCE

CERTIFICATES, LICENSES, REGISTRATIONS

None

PHYSICAL DEMANDS

WORK ENVIRONMENT

CORPORATE COMPLIANCE

Receives training and / or attends necessary meetings to meet the criteria as outlined in Hillsboro Health’s Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows how to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and / or abuse.

BENEFITS

Please use the link below to visit our website for a list of benefits offered.

https : / / www.hillsborohealth.org / careers