Job Description
The ** BHS Patient Account Representative **reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
BHS business office representatives coordinate the process of admitting patients, verifying insurance information, reconciling charge reports, resolving patient inquiries and supporting the Employee Assistance Program. This position supports all BHS clinical staff and provides accurate insurance and billing information while ensuring compliance with NM revenue cycle requirements.
_ Status:_ Casual/As Needed
_ Responsibilities:_
Patient satisfaction:
- Provides outstanding, courteous, prompt and professional customer service to all customers.
- Protects behavioral patient privacy at all times, verbally and physically, by checking for release of information before confirming a patient’s presence, securing work station and paper records, and using patient first names only.
- Provides customer support by answering overflow phone calls from main reception line. Adheres to answer time metrics to ensure calls are being answered in a timely manner.
- Registers and admits BHS patients efficiently and accurately in Epic.
- Verifies benefits for all BHS patients for all levels of care. Scans and notes benefits accurately in Epic.
- Accurately communicates with patients (and family members when appropriate) including explanation of benefits, NWM policies for deposits and discounts, and financial aid.
- Acts as advisor to ED social work staff in order to expedite ED patient placement.
Revenue cycle support:
- Maintains working knowledge of behavioral health (BH) insurance plans and specific insurance contracts for all BHS sites. Guides clinical teams accurately helping to ensure proper patient placement.
- Monitors and corrects insurance on all BHS inpatient accounts. Guides inpatient psychiatry HUCs and Admin techs in proper insurance codes and document scanning.
- Reconciles daily outpatient charge reports and facilitates corrections.
- Demonstrates ability to problem solve moderately complex billing, coding and contractual issues.
- Audits charts for key information and provides reports to management staff, ensuring compliance with JCAHO requirements.
Departmental productivity support:
- Demonstrates the ability to be flexible, adaptive to change, and handle stressful situations in a mature, professional manner.
- Shows proficiency in covering for all BHS support positions.
- Completes special assignments and projects while consistently meeting targets, timetables and deadlines while coordinating clerical work for the department.
- Provides accurate precertification requirements to BHS Intake, BHS Utilization Review and ED social work team. Interfaces daily with clinical staff to communicate benefit status and anticipated patient copayments.
- Processes and tracks supply orders and People Soft requisitions for BHS staff.
- Attends staff meetings and contributes to department process improvement.