Patient Account Representative 2 - Hospital - FMOL Patient Billing

at  Franciscan Missionaries of Our Lady Health System

• Customer Service
• Promptly answers inquiries from patients, co-workers, and employees regarding patient accounts in a kind and courteous manner.
• Assists in providing quality training and orientation for assigned employees.
• Payer Relations
• Advises patient or guarantor of third party payer benefits and estimated private payer amount and collects partial payments prior to admission in a manner that promotes the provision of high quality health care services by the department.
• Reviews patient papers and documentation for reported information accuracy, and researches errors on patient accounts, billing and insurance problems, and lost payments in order to ensure accurate record maintenance and prudent departmental operation.
• Makes written and verbal inquiries to third party payers, reconciles patient accounts, and makes payment arrangements in an effort to ensure that patients are free from financial burden and that patient interests are appropriately represented.
• Coordinates and originates payroll deduction actions for hospital employees in accordance with established policies and procedures, and oversees collection letter mail-outs for delinquent unpaid patient accounts in a prudent and efficient manner.
• Sends itemized patient account statements per attorney request or in response to subpoena in a professional and diligent manner.
• Reviews claims to make sure that payer specific billing requirements are met.
• Follows up on claims, determines and applies appropriate adjustments.
• Updates accounts.
• Receivables
• Works with external agencies and companies to provide patients with prompt reimbursement for hospital services. Interprets, explains, and counsels patient and family regarding hospital charges, services, and payment policies in a manner sensitive to the needs and financial situation of the patient.
• Quality
• Maintain a quality accuracy average of 95%
• Maintain a production set by management for specialty focus.
• Thoroughly completes assigned tasks with in the requested timeline.
• Other Duties As Assigned
• Performs other duties as assigned or requested.

Please refer the Job description for details