Summary: Responsible for a variety of office tasks relating to a patient' account throughout the revenue cycle. Actively participates in team development, achieving dashboards, and in accomplishing department goals and objectives. Responsible for adhering to all Federal regulations and maintaining current knowledge of Medicaid, Medicaid Managed Care, out of state Medicaid, Medicare and Medicare Advantage Plans, Commercial, Liability, and Workers Compensation guidelines. This position is a working member of a team with daily expectations to achieve operational targets and customer satisfaction. This position may have responsibility for certain job functions in one of the following areas; billing, follow-up, collection, denials, cash applications, customer service, self pay, or patient access.
Detailed responsibilities: * People At The Heart Of All We Do - Fosters an inclusive and engaged environment through teamwork and collaboration. - Ensures patients and families have the best possible experiences across the continuum of care. - Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. * Safety And Performance Improvement - Behaves in a mindful manner focused on self, patient, visitor, and team safety. - Demonstrates accountability and commitment to quality work. - Participates actively in process improvement and adoption of standard work. * Stewardship - Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. - Knows and adheres to organizational and department policies and procedures. * Standard Work Duties: Patient Account Representative III - Ability to communicate clearly with others on the telephone and in person. - May be in frequent contact with patients, attorneys, employers, physicians, and others necessary to obtain information for resolution of a patient account. - Good follow through skills. - Proficient at entry of accurate data. - Composes and types routine correspondence, emails, letters, faxes, etc. - Must be able to adapt to frequent changes in the work environment, delays, or unexpected events. - Verifies and performs mathematical computations; maintains files. - Must be capable of performing detail oriented tasks. - Performs other duties as assigned. -
Qualifications & Experience
Education: Essential: * High School or Equivalent Nonessential: * Associate Degree
Education equivalent experience: Nonessential: * Business or Healthcare Administration
Other information: Certifications Preferred: AAHAM or HFMA certification Experience Essential: Two years general patient accounting experience. Experience working with and general understanding of Medicaid, Medicaid Manage Care, Medicare, Medicare Advantage plans, Commercial, Liability, and Workers' Compensation payors. Experience Preferred: Four years general patient accounting experience. Experience working with and extensive understanding of Medicaid, Medicaid Manage Care, Medicare, Medicare Advantage plans, Commercial, Liability, and Workers' Compensation payors.