Patient Account Specialist Collage Nursing and Homecare Program

Position Title

Patient Account Specialist

Program Director

Exempt

This position is responsible for admissions processes as well as accounts receivable functions, including billing and collections for Collage Rehabilitation Partners.

• Receives and answers phone calls and emails regarding referrals, admissions or claims inquiries
• Gathers data and information to determine availability of funding and the possibility of funding approval
• Ensures that appropriate information is sent to individuals making requests, and disseminated appropriately to Collage team members
• After receiving clinical recommendations, develops single case agreements that align with physician’s orders and submits to payer for approval
• Negotiates any discounts and prompt pay arrangements under direction of Program Director and secures written authorization from the funder
• In the admissions process, maintains frequent contact with anyone that can assist in securing final admission commitment
• Keeps program up to date on potential clients and admission status and provides critical funding information to program admissions team prior to admission
• Communicates regularly with marketing staff regarding intakes, admissions and referral sources
• Sets up the patient folder in the appropriate drive according to protocol and relays any special instructions to the Program Director, Director of Nursing, Nurse Supervisor, Clinical Liaison, and Staffing Coordinators
• Sets up patient in electronic medical record prior to admission
• Collects and submits required documentation to the funder/referrer within designated time frame (typically weekly)
• Maintains documentation and timely collection of housing agreements and payments, informing pertinent staff of lease timelines
• Serves as a resource to program staff for funding and approval issues that may arise while a client is part of the Collage system
• Collects and processes claim information; posts insurance/client information, and manages accounts
• Submits claims and follows up with insurance carriers on unpaid or rejected claims; resolves issues as needed and resubmits claims
• Answers client inquiries on account status and charges; communicates to the AR team and Program Director issues or concerns regarding the accuracy and completeness of the medical documentation and billing information received
• Reviews billing generated for accuracy; rebills and/or re-submits invoices related to collection matters, including submission of private account statements
• Performs monthly analytical procedures of billed charges, special instructions, and general ledger posting reports to ensure completeness and accuracy
• Establishes new client billing set up in accounting and billing systems as clients admit and discharge from programs
• Completes insurance verification as needed; assists in preparing credentialing applications as needed by programs related to payer contracts and billings
• Follows HIPAA guidelines in handling client information; handles other duties as assigned

A high school diploma and three to five years of related work experience or college courses in Accounting, Finance or Business Administration is required. An associate’s degree is preferred. Knowledge of accounting software, Microsoft Office, including strong Excel skills are required. Experience working with behavioral health software or similar systems is a plus. Must be detail oriented, have a solid math aptitude and excellent organizational skills.

Competence in planning, time management and excellent communication skills are required.

Regularly required to communicate, both orally and in writing; occasionally required to speak on the telephone for extended periods of time. Frequently required to sit; occasionally required to bend, stoop, kneel, stand and walk. Regularly required to use hands to type, grasp, handle, or feel; reach, push or pull with hands and arms; and talk or hear. Specific vision abilities required include close vision, color vision, and ability to adjust focus.

Regularly required to demonstrate a high degree of…