Patient Account Rep II / BILLER (Full Time)

Description

Position Summary:

This job description defines the tasks and the responsibilities normally expected of the Patient Account Representative/Biller. The primary functions are but not limited to the outlined below. Additional projects, assignments and duties may be given as necessary by the Director of Revenue Cycle.

Responsible for billing all accounts to designated insurance companies. The designation may be assigned by alpha split, insurance type, number of accounts or any other designation deemed necessary to achieve production and/or performance goals of the business office.

This position answers directly to the Director of Revenue Cycle indirectly to the CFO. The policies of Mid-Valley Hospital apply to all written or vocalized actions of this office.

SPECIFICATIONS

Performs all collection of patient accounts during and after all insurance companies have remitted.

Works with ATB report in a timely fashion, requesting assistance if needed.

Biller is responsible for working the assigned ques that are assigned daily, weekly, and monthly.

In a courteous and professional manner makes calls or other contacts on delinquent accounts over 90 days old.

In a polite and helpful manner answers questions from patients about their bills and does necessary research on problem accounts.

Perform other duties as assigned by the Director of Revenue Cycle.

GENERAL ACCOUNTABILITIES

1.Greets all patients, visitors, physicians, and other staff members in a courteous, respectful and professional manner at all time. Responds to all patients with empathy and positive interpersonal skills at all times.

2.Reports for scheduled shift on time and prepared to assume responsibilities.

• Reports to work in proper uniform/attire.
• Leaves for meal break on time and returns on time.
• Varies work schedule to meet the needs of the department.
• Ensures the department manager has approved all scheduled overtime.
• Seek supervisor approval before working beyond scheduled hours that will result in overtime.
• Schedules all time off with supervisor’s approval.
• Strictly adheres to hospital attendance/tardiness policies 100% of the time.
• Performs all duties as assigned.
• Wears I.D. badge in a visible location at all times on hospital property.
• Protects I.D. and access badge and reports any issues or loss immediately to supervisor or to the Human Resource Department.

3.Attends and participates in meetings and is responsible for information communicated at meetings and in email.

• Attends all mandatory in service on a timely basis as scheduled.
• Participates as an active team member at staff meetings.
• Reads communications and acts upon in a positive and informative manner.

4.Identifies own educational needs and maintains appropriate skill level through educational opportunities.

5.Exercise a commitment to practicing behaviors that are in agreement with the spirit of cooperation and reflect the values described in the Code of Mutual Respect and Professionalism.

6.Assists all patients, family members, physicians, visitors, and employees in a professional and courteous manner.

• Extends special attention and sensitivity to all patients, visitors, physicians, and fellow employees.
• Actively promote diversity and inclusion across organization for both patients and coworkers while avoiding any language or actions considered to be discriminatory or derogatory regarding race, creed, color, ethnicity, national origin, religion, sex, sexual orientation, gender expression, age, height, weight, physical or mental ability, veteran status, military obligations, and marital status.
• Assists in maintaining an atmosphere of cooperation and teamwork with other departments and community partners.
• Demonstrates a genuine willingness to prevent or resolve inter-personal conflicts.
• Demonstrates the ability to participate in and/or implement team decisions.
• Adheres to HIPAA and all applicable privacy laws at all times, only sharing information on a “need to know” basis.

7.Follows Infection Control procedures at all times.

• Clinical Personnel: Strictly adheres to standard precautions by adhering to the usage of personal protective equipment when handling blood or body fluids.
• Non-Clinical Personnel: Washes hands and other skin surfaces with soap and water thoroughly and often in an effort to control spreading of germs within the department and facility.
• Adheres to isolation procedures at all times as applicable.

8.Adheres to the following environmental care standards.

• Demonstrates adequate knowledge of safety policies and procedures, the use of MSDS sheets, hazardous material procedures, and safety codes.
• Code Blue, Code Gray, Code Silver, Code Amber, Code Red, Code Orange, Rapid Response Team
• Demonstrates adequate knowledge of security issues, i.e. personal protection, protection of personal and hospital property.

9.Be familiar with and comply with the Mid-Valley Hospital & Clinic Personnel Handbook and Policies.

10.Be familiar with the collective bargaining agreement (Union Contract) of the UFCW 21 and Mid-Valley Hospital.

11.Demonstrates the ability to adapt to varied age-specific patient populations.

• Non-Clinical Personnel: This position has no responsibility for the assessment, treatment, or care of patients. However, the ability to communicate and interact with patients of all ages is required.

Requirements

POSITION QUALIFICATIONS

EDUCATION:

High School graduate/GED

Two years prior Business Office experience recommended

General knowledge of collection policies

EXPERIENCE:

Medical background with working knowledge of, insurance claim processing, UB-92’s, HCFA 1500’s, and Business Office policies and procedures.

Prior experience with credit and collection policies and procedures.

Ability to work on multiple projects during any given day and prioritize new projects as they may arise.

Is discreet in matters pertaining to patient accounts.

Must use good communication skills when working with the public or coworkers.

Experience with computers required.

Work independently with little supervision.

Assists whenever necessary with insurance billing and follow-up.

Willing to perform accurately repetitive tasks with close attention to detail.

WAGE AND COMPENSATION

Wage range $18.19 hr - $ 27.03 hr - DOE

Mid Valley Hospital also offers a generous compensation package with vacation, sick leave, life insurance and a profit sharing plan. We also offer the opportunity of a low cost out of pocket medical, dental and vision insurance plan as well as 403(b) investments.