Patient Account Rep; BMG

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Reports to the Practice Manager and works under the direction of the Clinical Supervisor, Office Supervisor and/or Office Coordinator. Under general supervision and according to established policies and procedures, is responsible to process, reconcile and resolve patient accounts. This includes collecting payment from patients, setting up payment plans, verifying insurance coverage and eligibility, preparing good faith estimates, providing patient education, and ensuring accuracy of patient records.

The patient account representative also assists with patient inquiries, resolves account discrepancies, and provides quality customer service.

MISSION, VALUES and SERVICE GOALS

• MISSION:
  We deliver outstanding care, inspire health, and connect with heart.
• VALUES:
  Trust. Respect. Integrity. Compassion.
• SERVICE GOALS:
  Personally connect. Keep everyone informed. Be on their team.

• Collecting and processing patient payments. Ensure correct application to patient’s account.
• Review accounts for billing accuracy and completeness.
• Review delinquent accounts and following up with correspondence and telephone calls with payer or patient.
• Assist with patient account inquires for resolution.
• Assist patients with terms for repayment structures.
• Serve as a primary point of contact for patients regarding their account payments.
• Collect patient cost-sharing amounts (e.g. copays, deductibles), and outstanding bad debt before service.
• Receive, document, and respond to all patient correspondence in a prompt and courteous manner; accurately document all actions taken to reconcile outstanding balances.
• Review self-pay undistributed and credit balance accounts and provide refunds to patients as necessary.
• Provide education to patients on Beacon’s financial assistance policy and application process, if needed. Direct patients to the appropriate resources as needed.
• Communicate with Revenue Cycle teams, insurance companies, staff/leadership, and others to resolve problem accounts.
• Accessing patient data in Rev Cycle/Rev Spring to ensure that patient demographic and insurance information is correct.
• Assist patients in understanding account balances, payment options, and financial policies.

• Serve as on-site resource for managed care and insurance issues.
• Educating and training associates regarding insurance and billing changes, as appropriate.
• Working closely with BMG Central Billing Office associates.
• Completing other job-related duties and projects as assigned.

• Attends and participates in department meetings and is accountable for all information shared.
• Completes mandatory education, annual competencies and department specific education within established time frames.
• Completes annual employee health requirements within established time frames.
• Maintains license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
• Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
• Adheres to regulatory agency requirements, survey process and compliance.
• Complies with established organization and department policies.
• Available to work overtime in addition to working additional or other shifts and schedules when required.

• Leverage innovation everywhere.
• Cultivate human talent.
• Embrace performance improvement.
• Build greatness through accountability.
• Use information to improve and advance.
• Com…