Patient Account Representative 3 - Hospital

at  Franciscan Missionaries of Our Lady Health System

The Patient Accounts Specialist is a liaison to review and resolve complex Patient Accounts issues. The Patient Accounts Specialist may be responsible for the customer service, posting, billing and/or collection process of the Patient Accounts process. It is the responsibility of the incumbent(s) of this position to incorporate the Mission values and philosophy of the organization into the completion of all job duties. Relies on experience and judgment to accomplish responsibilities; Works under minimal supervision; Creativity is expected to perform job and may lead and direct the work of others.

• Supervision
• Provides support and acts as a team lead over patient charge posting, billing, and collection operation, assists with work-related problems, and assists co-workers with patient account inquiries in a professional and considerate manner that promotes efficient departmental operation.
• Promotes the quality and efficiency of his/her own performance through participation in staff educational programs, approved continuing education courses, and specialized skill training programs.
• Provides quality training and orientation for assigned employees, informs co-workers of relevant departmental policies and procedures, allocates tasks to co-workers as needed, and implements and monitors departmental work schedules and duty assignments.
• Payor Relations
• Promotes efficient departmental operations by monitoring controls to ensure appropriate submission, billing, and payment cycles and recommending/monitoring procedures for follow-up on third party approvals, billing, and collection for overdue accounts.
• Promptly answers inquiries from patients, co-workers, and employees regarding patient accounts in a kind and courteous manner.
• Performs follow-ups on unpaid claims by contacting intermediary or insurance carrier in order to ensure that patient is free from financial burden. Prepares a list of past due accounts for collection in order to ensure that legal and payer requirements are met and patient’s interests are appropriately represented.
• Works with insurance companies on provider contract agreements in order to ensure that correct adjustments to patient accounts are applied in a manner that best represents the financial interests of the patient.
• Receivables
• Ensures Implementation of established billing and collection procedures and ensures that patient accounts receivable records comply with established policies and procedures in an effort to promote quality health care services and prudent hospital management.
• Monitors accounts receivable and cash receipt functions, and keeps current on governmental third party and private insurance payer reimbursement billing procedures in an effort to ensure the proper and efficient handling of patient billing procedures.
• Other Duties As Assigned
• Performs other duties as assigned or requested.
• Must have 3 yrs experience of relevant experience. Bachelor’s Degree substitutes 2 yrs exp. Associate’s Degree, trade school, or certification substitutes 1 yr exp. Some examples of relevant experience include LPN, RN, Revenue Cycle, Accounting, Bookkeeping, Business, Billing, Coding or call center environments.
• High School or equivalent
• Knowledge of ICD-10, CPT and HCPCS coding; ability to read and understand third party payer explanation of benefits.

The Franciscan Missionaries of Our Lady Health System is a leading health care innovator in Louisiana and Mississippi. We bring together outstanding clinicians, the most advanced technology and leading research to ensure that our patients receive the highest quality and safest care possible.
This commitment is grounded in a history that is more than 100 years old, but reflected today by our strategic vision of transforming healthcare through superior performance and excellent patient care.

In the last fiscal year, Franciscan Missionaries of Our Lady Health System had:

• 1,747 Licensed Beds
• 65,322 Discharges
• 44,592 OR Procedures
• 10,827 Full Time Employees
• 331,360 Inpatient Days

• 1,915 Active Medical Staff229,296 Emergency Visits

• As a nonprofit, mission-focused Catholic healthcare ministry, we give special attention to our citizens who are most in need. During the most recent fiscal year, we provided more than $39 million in unreimbursed care and community support to the underprivileged.
  Our health system is one of the largest in Louisiana, with hospitals, clinics and physicians located throughout Louisiana and in Mississippi. In fact, we provide care to almost half of Louisiana’s citizens, and serve in Mississippi’s largest metropolitan area. Because of our size and the partnerships we have with other local organizations, we are able to pool our resources and share cost and service efficiencies and learn from each other, thereby accelerating our ability to improve care and solve challenges.
  Since our founding in Monroe, Louisiana in 1911, we have been blessed by the guidance of the Franciscan Sisters. Through their guidance and steadfast example, we have committed to assure that we perpetuate their healing ministry for another hundred years. It is a noble purpose we strive to fulfill every day.
  Headquartered in Baton Rouge, Louisiana, we serve patients across Louisiana and Mississippi through a network of hospitals, clinics, physicians, elderly housing and integrated information system. Our health system has partnered with the State of Louisiana as it transforms its healthcare delivery system. The partnership includes inpatient acute care and primary care delivery in Baton Rouge and Bogalusa.
  Following in the footsteps of our founders, the Franciscan Missionaries of Our Lady, our team members and physicians are called to provide high quality care and compassion to all people, especially those most in need.
  As we look to the future of our healthcare ministry, we chart our course by “going where we are called.”

• Supervision
• Provides support and acts as a team lead over patient charge posting, billing, and collection operation, assists with work-related problems, and assists co-workers with patient account inquiries in a professional and considerate manner that promotes efficient departmental operation.
• Promotes the quality and efficiency of his/her own performance through participation in staff educational programs, approved continuing education courses, and specialized skill training programs.
• Provides quality training and orientation for assigned employees, informs co-workers of relevant departmental policies and procedures, allocates tasks to co-workers as needed, and implements and monitors departmental work schedules and duty assignments.
• Payor Relations
• Promotes efficient departmental operations by monitoring controls to ensure appropriate submission, billing, and payment cycles and recommending/monitoring procedures for follow-up on third party approvals, billing, and collection for overdue accounts.
• Promptly answers inquiries from patients, co-workers, and employees regarding patient accounts in a kind and courteous manner.
• Performs follow-ups on unpaid claims by contacting intermediary or insurance carrier in order to ensure that patient is free from financial burden. Prepares a list of past due accounts for collection in order to ensure that legal and payer requirements are met and patient’s interests are appropriately represented.
• Works with insurance companies on provider contract agreements in order to ensure that correct adjustments to patient accounts are applied in a manner that best represents the financial interests of the patient.
• Receivables
• Ensures Implementation of established billing and collection procedures and ensures that patient accounts receivable records comply with established policies and procedures in an effort to promote quality health care services and prudent hospital management.
• Monitors accounts receivable and cash receipt functions, and keeps current on governmental third party and private insurance payer reimbursement billing procedures in an effort to ensure the proper and efficient handling of patient billing procedures.
• Other Duties As Assigned
• Performs other duties as assigned or requested.
• Must have 3 yrs experience of relevant experience. Bachelor’s Degree substitutes 2 yrs exp. Associate’s Degree, trade school, or certification substitutes 1 yr exp. Some examples of relevant experience include LPN, RN, Revenue Cycle, Accounting, Bookkeeping, Business, Billing, Coding or call center environments.
• High School or equivalent
• Knowledge of ICD-10, CPT and HCPCS coding; ability to read and understand third party payer explanation of benefits