Patient Accts Rep Hosp

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• Maintains and controls an assigned section of patient accounts.
• Reviews files daily and checks final amounts for accuracy and completeness, verifies and edits patient demographic and insurance information prior to claims submission.
• Ensures the accuracy of accounting for all accounts.
• Records late charges on patient accounts for appropriate logs.
• Enter required UB92 and/or physician billing 1500 information, or other pertinent information not in the system for electronic transmission of insurance claims.
• Prepares and submits claims to carriers and intermediaries within 24 hours after all information is available for billing.
• Monitors accounts for trace follow-up to insurance company and/or employer when necessary.
• Processes and responds to correspondence from patients, insurance companies or third parties regarding insurance benefits, unpaid claims, and account balances.
• Contacts patient account guarantors by telephone or mail to secure contracts or collection of payments.
• Assists with the process of filing liens, garnishments or initiates other legal action to remedy unpaid accounts.
• Reviews accounts record and ensures that collection letters are sent, and debtors are contacted according to established hospital policy.
• Monitors collection agency reports and remittances for accuracy.
• Resolves payment problems with patients and third‑party payers.
• Reviews account status for referral to outside collection agencies prior to write off.
• Deposits daily receipts with Business Office Accounts Receivable staff and ensures cash funds are reconciled.
• Ensures the effective billing for accounts queued in other web‑based software (eSolutions, etc.) and other billing solutions (Allscripts, etc.) or other various billing applications.
• Serves as a back‑up for the Hospital Financial Counselor/Business Office Cashier.
• Prepares reports or statistics as required.
• Ensures that accounting entries are made according to generally accepted accounting principles and CRHS policy.
• Complies with all CRHS privacy policies and procedures including those implementing the HIPAA Privacy rule.
• Attends in‑service training, education programs and meetings as required or directed.
• Adheres to established CRHS and departmental policies, procedures and objectives for quality assurance, safety, environmental, and infection control.
• Performs other related job duties as assigned.

• Seniority level:
  Entry level
• Employment type:
  
  Full‑time
• Job function:
  Health Care Provider
• Industries:
  Hospitals and Health Care