Patient Account Specialist - Full Time

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

• Completes assigned daily duties.
• Accepts reassignment to other units if necessary.
• Follows expected work practices.
• Displays thoroughness and accuracy of work.
• Works in a safe manner, including reporting unsafe equipment or environment.
• Well organized, accepts assignments willingly and accomplishes them quickly.
• Anticipates problems and suggests solutions.
• Helps with not specifically assigned duties.
• Works steadily and always keeps busy.
• Ability to work well with a diverse work team.
• Ability to work under pressure with time constraints.
• Ability to concentrate.
• Ability to work independently with minimal supervision.
• Ability to work well with numbers.
• Good mental health and emotional maturity
• Maintain appearance appropriate for job duties.

(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

• High school diploma or equivalency 
• Minimum 1 year experience in hospital insurance billing procedures 
• Minimum 2 years computer experience with proficiency in multiple computer applications
• Works well with numbers
• Required proficiency in general clerical office duties, i.e., computer keyboarding, calculator, with average typing skills.
• Excellent customer services skills                            

CERTIFICATES, LICENSES, REGISTRATIONS

None

PHYSICAL DEMANDS

• Prolonged, extensive, or considerable sitting 
• Constantly required to use arms, hands, and fingers for repetitive movement - typing, and occasional grasping, pulling, and pushing  
• Occasionally lift and/or move up to 25 pounds. 
• Specific vision abilities required by this job include close vision, distance vision, color vision and the ability to adjust focus.

WORK ENVIRONMENT

• Work is sedentary. 
• Duties are performed within comfortable climate-controlled surroundings.
• Frequent contact with patients, account guarantors, and insurance companies 
• Interacts with other departments throughout the organization.

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.

TEMPORARY EMPLOYMENT BENEFITS

Paid time off, 401(k) Plan, and Community Benefit Hours