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Patient Account Representative - Patient Financial Services

Company: Eisenhower Medical Center
Location: Rancho Mirage
Posted on: May 6, 2021

Job Description:

  • Job Objective: A brief overview of the position.
  • Works under the direction of the Patient Financial Service Manager. Is engaged in activities relating to the collection of payment and/or resolution of self-pay balance accounts.
  • Reports to
  • Patient Financial Service Manager
  • Supervises
  • None
  • Ages of Patients
  • None
  • Blood Borne Pathogens
  • Minimal/ No Potential
  • Qualifications
  • Education
  • Preferred: Some college preferred
  • Licensure/Certification
  • None
  • Experience
  • Required: One year prior experience in a hospital setting or billing certification; Experience in a clinic, payer or collection agency setting may be substituted. Must have working knowledge of managed care, Medicare/Medi-Cal Billing regulations.
  • Essential Responsibilities
  • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
  • Manages new accounts, on a daily basis, by working within Receivables Workstation. Interfaces with other departments within the hospital, when appropriate, to obtain information necessary to process or resolve claims. Contacts patient and/or account guarantor to solicit payment on account.
  • Works all accounts listed in the Follow-Up cue, on a daily basis to promote collection of accounts. This will include telephoning the payer or identifying the claim on the payers' Internet websites.
  • Manages entire account inventory on a timely basis to promote payment and resolution of all accounts as instructed by management.
  • Responsible for staying current on all payer requirements by reading bulletins, reviewing provider handbooks, accessing websites, etc.
  • Process incoming correspondence, including signature letters, denials, prior authorizations and additional information necessary to process the claim.
  • Records newly identified insurance plans and facilitate the account processing of new plan in accordance with pre-billing policies and procedures.
  • Records accurate and definitive notes in the electronic account file that depict the current status of account, issues with account and anticipated date of resolution.
  • Escalates account management to Supervisor when extraordinary issues arise.
  • Assigns a status codes to each worked account to enable account tracking, statistical data gathering and audit activities.
  • Manages new credit balance accounts every day and prepares adjustments or refunds to zero the account balance.
  • Handle special projects as directed by management e.g. high dollar accounts, accounts over 180 days old, etc.
  • Performs other duties as assigned

Keywords: Eisenhower Medical Center, Palm Springs , Patient Account Representative - Patient Financial Services, Sales , Rancho Mirage, California

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