Business Office Patient Account Representative

Job Details

Job Location:

Hawarden Regional Healthcare
- Hospital
- Hawarden, IA 51023 Position Type:
Full Time GENERAL

SUMMARY:

Under general direction, assumes the responsibility for ensuring that all billing, collection, and follow up on patient accounts including patient calls, visits and inquiries from third party payers is completed in a timely manner. Adheres to the mission, values and standards of excellence of Hawarden Regional Healthcare in all aspects of job performance.

ESSENTIAL JOB FUNCTIONAL

COMPETENCIES:

• 1. Demonstrates the knowledge and skills necessary to provide service/care appropriate to the age of the patients served, in accordance with Hawarden Regional Healthcare standards. Maintains a working knowledge of applicable Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, and HRH policies and procedures, including all provisions of the Health Insurance Portability Act of 1996 (HIPAA).
  
  In order to ensure adherence in a manner that reflects honest, ethical and professional behavior by implementing the organizational vision, values, and mission.
• 2. Assists in developing and implementing goals and objectives for the department.
• 3. Maintains state of the art technical skills by reviewing literature and professional journals, attending seminars and workshops, and daily contacts with peers.
• 4. Provide cost estimates and communicate pre-service patient liability based on expected charges and potential coverage, as requested.
• 5. Coordinate refiling of insurance claims for all insurance companies for all charges. Track, review and correct any rejected claims.
• 6. Assist in preparation of daily clinic deposit and reconciliation when needed to fill in.
• 7. Is responsible for keeping current with updates related to the computer system from hardware and software vendors.
• 8. Responsible for answering incoming calls to the Business office and help them with their various needs.
• 9. Greet visitors in the Business Office and help them with their various needs.
• 10. Responsible for all record keeping for all patient account information for the Business Office. Responsible for typing messages on all patients' accounts as needed. Responsible for the collection of self-pay accounts.
• 11. Responsible for updating and working aging accounts to ensure proper and timely reimbursement to avoid denials and timely filing of claims.
• 12. Maintains continual updates on insurance information for all carriers as related from management and billing office, collaborating with appropriated billing staff personnel to facilitate the update of various files for all types of carriers.
• 13. Recognizes and communicates issues/occurrences utilizing established lines of authority, and assists in identifying ways to resolve variances or unacceptable outcomes.
• 14. Demonstrates general working knowledge of computers and department specific software (i.e. Healthstream, internet, etc.)
• 15. Actively participates in departmental meetings, committees, conferences, and in services. Is knowledgeable of and complies with Safety and Infection Control Policies & Procedures. Participates in Continuous Quality Improvement activities as requested. Keeps up to date on new procedures and research. Maintains confidentiality of information pertaining to clients, physicians, employees and HRH business.
• 16. Completes all mandatory training such as Healthstream, The Patient Experience, Safe Choices, Crucial Conversations and any other training as designated by Administration.
• 17. Performs other duties and responsibilities as assigned.

The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an…