Patient Accounts Representative II

POSITION TITLE: Patient Accounts Representative II

Reports to: Business Office Manager

Classification: UFCW

Supervisory: none

 

JOB SUMMARY:

Under the general direction and supervision of the Business Office Manager, and in accordance with established departmental and Health System policies, procedures, and standards, performs duties as assigned including, but not limited to, the following:

ESSENTIAL DUTIES:

1. Review and mail patient statements daily. Validating patient self-pay balance is accurate and also providing in statement a financial assistance informational insert.

2. Process mail return.

3. Process bad debt daily.

4. Support Patient Financial Counselor with Monthly Agency Reports Reconciliation (accounts sent, returned collections, adjustments, etc.)

· Evolve Billing Services

· General Credit and Collections Agency

· Oregon Coast Billing Services

· Western Mercantile Collections Agency

5. Thorough and timely work accounts in worklist as defined by policies and procedures.

· FC Expiring Applications – Excel spreadsheet.

· FC Adjustment needed.

· Pre-Bad Debt Accounts

6. Monitor and provide collection agency vendors with requested additional documentation as needed.

7. Maintaining with accuracy financial assistance and bad debt account spreadsheets.

8. Provide backup assistance to Financial Counselor helping patients with self-pay account balances by answering telephone calls, returning voicemails, and/or assisting patients who present in person to the business office with questions about their self-pay balances.

9. Clerical duties, including but not limited to filing, photocopying, data entry, scanning.

10. Internal audit projects pulling required documentation as assigned.

11. Answer telephones as needed.

12. Accept credit/debit card payments from patients in person or over the phone.

13. Data entry of financial aid and bad debt adjustments, verify adjustments.

14. Follow up on returned mail/statements.

15. Prepare ROI request for Medical Records department as needed.

16. Mailing insurance and secondary claims with attachments.

17. Maintain copy area by keeping it supplied, gathering faxes, correspondence, mail, and any other documents printed and left behind and forwarding to the appropriate team member.

18. Maintains confidentiality of employee, patient, and LUHD information.

19. Maintains LUHD core values of quality, caring, ownership, pride, teamwork, respect, and responsibility.

20. Performs other duties as assigned by the Business Office Manager.

QUALIFICATION REQUIREMENTS:

Education and License:

High School graduate or equivalent, required.

Certifications:

None

Experience:

Billing and/or collections work is highly desirable.

Computer, data entry and clerical experience required.

Additional Qualifications:

1. Basic typing skills with accuracy and 10-key by touch

2. Must be detailed oriented and accurate in working with figures.

3. Able to clearly and effectively communicate both verbally and writing.

4. Requires flexibility, tact, and sensitivity in dealing with the public and other personnel, and able to maintain confidentiality of patient records.

5. Must be able to work as an effective member of the healthcare team, and to establish and maintain cooperative working relationships with others, utilizing tact and diplomacy.

6. Requires verbal communication with insurance carriers, patients, physicians, co-workers, and personnel from other departments in person and over the phone.

7. Requires reading billing requirements and regulations, medical reports, and other written materials.

WORK ENVIRONMENT:

Works indoors in an air-conditioned environment.

PHYSICAL DEMANDS:

Frequent use of computer and phone, and other standard office machines. Must be able to stand, sit, stoop, twist, kneel, reach, push, pull using proper body mechanics and move/lift varying amounts of weight to a maximum of 50 lbs.