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Patient Account Rep

Patient Account Rep

Beacon Health SystemElkhart, Indiana, United States, 46514
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Patient Account Rep

Reports to the Practice Manager and works under the direction of the Clinical Supervisor, Office Supervisor and / or Office Coordinator. Under general supervision and according to established policies and procedures, is responsible to process, reconcile and resolve patient accounts. This includes collecting payment from patients, setting up payment plans, verifying insurance coverage and eligibility, preparing good faith estimates, providing patient education, and ensuring accuracy of patient records. The patient account representative also assists with patient inquiries, resolves account discrepancies, and provides quality customer service.

MISSION, VALUES and SERVICE GOALS

  • MISSION : We deliver outstanding care, inspire health, and connect with heart.
  • VALUES : Trust. Respect. Integrity. Compassion.
  • SERVICE GOALS : Personally connect. Keep everyone informed. Be on their team.

Performs various patient account and clerical duties in accordance with established policies and procedures by :

  • Collecting and processing patient payments. Ensure correct application to patient’s account.
  • Review accounts for billing accuracy and completeness.
  • Review delinquent accounts and following up with correspondence and telephone calls with payer or patient.
  • Assist with patient account inquires for resolution.
  • Assist patients with terms for repayment structures.
  • Serve as a primary point of contact for patients regarding their account payments.
  • Collect patient cost-sharing amounts (e.g. copays, deductibles), and outstanding bad debt before service.
  • Receive, document, and respond to all patient correspondence in a prompt and courteous manner; accurately document all actions taken to reconcile outstanding balances.
  • Review self-pay undistributed and credit balance accounts and provide refunds to patients as necessary.
  • Provide education to patients on Beacon’s financial assistance policy and application process, if needed. Direct patients to the appropriate resources as needed.
  • Communicate with Revenue Cycle teams, insurance companies, staff / leadership, and others to resolve problem accounts.
  • Accessing patient data in RevCycle / RevSpring to ensure that patient demographic and insurance information is correct.
  • Assist patients in understanding account balances, payment options, and financial policies.

    • Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by :

  • Serve as on-site resource for managed care and insurance issues.
  • Educating and training associates regarding insurance and billing changes, as appropriate.
  • Working closely with BMG Central Billing Office associates.
  • Completing other job-related duties and projects as assigned.

    • ORGANIZATIONAL RESPONSIBILITIES

    Associate complies with the following organizational requirements :

  • Attends and participates in department meetings and is accountable for all information shared.
  • Completes mandatory education, annual competencies and department specific education within established timeframes.
  • Completes annual employee health requirements within established timeframes.
  • Maintains license / certification, registration in good standing throughout fiscal year.
  • Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position / department.
  • Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
  • Adheres to regulatory agency requirements, survey process and compliance.
  • Complies with established organization and department policies.
  • Available to work overtime in addition to working additional or other shifts and schedules when required.

    • Commitment to Beacon's six-point Operating System, referred to as The Beacon Way :

  • Leverage innovation everywhere.
  • Cultivate human talent.
  • Embrace performance improvement.
  • Build greatness through accountability.
  • Use information to improve and advance.
  • Communicate clearly and continuously.

    • Education and Experience

  • The knowledge, skills and abilities as indicated below are acquired through the successful completion of a high school diploma; Associate’s degree is preferred. Experience in billing, collections or financial analysis. Knowledge of medical coding and medical terminology is a plus. Proficient in computer software and technology.

    • Knowledge & Skills

  • Strong customer service, interpersonal, and organizational skills.
  • Requires the ability to handle diverse work functions and seamlessly transition between tasks and projects.
  • An understanding of basic math skills and knowledge of general accounting principles.
  • Demonstrates well developed communication skills, both verbal and written, necessary to effectively deal with a diverse group of people and compose written communications using correct spelling, grammar, and formatting.
  • Ability to handle sensitive and confidential information.
  • Knowledge of medical terminology, insurance processes, and patient billing.

    • Working Conditions

  • Works in a medical office environment.
  • May experience some mental / visual fatigue from care and constant review of records, patient bills, and continued use of computer equipment.

    • Physical Demands

  • Requires the physical ability and stamina to perform the essential functions of the position.

    • PI936473499852-30511-38386368

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    Patient Account Rep • Elkhart, Indiana, United States, 46514

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