PATIENT ACCOUNTS REPRESENTATIVE (FT 40 HRS. ) 2PD05

Description

Job Type

FULL- TIME

Description:

2PD05

SCOPE: Customer service and bill processing for accurate and timely payment for services.

COMMITMENT: It is the policy of Penobscot Valley Hospital to provide services in compliance with all state and federal laws governing its operations and consistent with highest standards of business and professional ethics. This policy is a solemn commitment to our patients, to our community, to those government agencies that regulate the hospital, and to ourselves. All employees of PVH agree to comply with all local, state, and federal regulations and conduct themselves in a highly-ethical manner in the course of fulfilling their job duties.

JOB FUNCTIONS

1. Represents the hospital to outside organizations and patients in a professional manner adhering to the PVH Code of Conduct.
2. Responsible for billing insurance and government agency claims utilizing the hospital’s current software.
3. Responsible for insurance and government agency claim follow up and appeals to final payment.
4. Posts insurance payments received via remittance advices.
5. Generates and works accounts receivable reports in a timely manner.
6. Works claims in designated work queues.
7. Receives payments from patients presenting to PVH as needed.
8. Performs other duties as assigned.
9. Quality Improvement: Actively participates in the Hospital-wide Quality Improvement Program, actively supports and implements Department-specific Quality improvement Initiatives and projects, recommends process improvement as appropriate, reports any quality issues in service delivery and consistently commits to a focus on quality improvement and organizational excellence.
10. Emergency Management: As an employee of Penobscot Valley Hospital, the position has an inherent role to care for our community members when in need. To this regard, the incumbent will be expected to participate in emergency/disaster preparedness planning and drills as requested. When called upon during a real life disaster/emergency event, the incumbent will be expected to participate in the Hospital’s response to this event, within the scope of professional and personal ability to do so.

Requirements

Previous office experience required; minimum 1 year. Experience in facility and physician billing/UB & 1500 and use of Excel preferred. Proficient use of computers and calculators. Excellent organizational and communication skills preferred. Knowledge of medical terminology preferred. Able to establish priorities. High school graduate or GED required

Benefits

PVH   has a Section 125 Cafeteria  Benefits Plan and pays a  portion of the   cost of our health plan,  dental, basic life, and  disability insurance   for employees with 30+  authorized hours, and  provides partial subsidy   for dependent health  insurance.  Part-time  employees are eligible to   receive dental, life,  and disability coverage  and are eligible to  participate in the  health insurance plan.  Other  benefits include a   403(b) plan and  earned time off accrual.