Department: Business Office

Schedule/Status:

8:00am - 4:30pm; Full Time

Standard Hours/Week:

40

General Description: Under the direct supervision of the Account Receivable Supervisor, the Patient Account Rep is responsible for the timely collection and resolution of the accounts receivable in accordance with the established policies and procedures of the hospital. The position shall exemplify the desired Culture of choice and philosophies of Parrish Healthcare.

Key Responsibilities:

Reviews all insurance claims both electronic and paper for accuracy of billing data. Corrections are made as necessary according to payor specific guidelines. All bills are processed daily. Monitors and reports all claims that are not billed at day end.

Identifies billing errors as related to charging and coding and reports to Revenue Analyst for resolution. Billing problems related to Meditech are reported the Business Office Trainer for resolution. Problems related to the electronic billing software are reported to the Billing Supervisor for resolution.

Work reports associated with the electronic billing process, and notify Patient Account Reps of denials. Paper claims that are secondary to Medicare are followed up by use of Meditech reports, and adjudicated.

Rebills accounts returned by Patient Account Reps within specified guidelines. Any unpaid secondary to Medicare claims are rebilled as appropriate.

Analyzes late charge/late credit report and determines the appropriate action.

Reviews documentation from different payer sources that relates to the billing of claims. Attends seminars when appropriate

Performs similar or related duties as assigned.

Knows fire, disaster and safety procedures and regulations as pertains to the work area.

Requirements:

Formal Education:

High School Diploma or GED required

Work Experience:

Minimum of one (1) year experience, insurance billing required.

Required Licenses, Certifications, Registrations:

NA

Full Time Benefits:

Eligible to participate in a number of PMC-sponsored benefits, including:

Benefits Start on Day 1

Health, Dental and Vision Insurance

403(b) Retirement Program

Tuition Reimbursement/Educational Assistance

EAP, Flex Spending, Accident, Critical and Other Applicable Benefits

Annual Accrual of 152 Personal Leave Bank (PLB) Hours