Patient Account Representative / Financial Counselor
Financially counsel patients on the units
Verify patient's insurance
Determine each patient's co-pay, co-insurance and deductible
Qualify patients for Financial Assistance
Call patients to collect balances due
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. Resubmit electronically when available
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. Needs to maintain an average of 30-40 accounts worked per day minimum
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 understands 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
Perform other functions and tasks as assigned
Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws.
Patient Account Representative • Fort Myers, FL, US