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Patient Account Representative

Company: Acadia Healthcare
Location: Saint Charles
Posted on: August 6, 2022

Job Description:

Demonstrates Competency in the Following Areas:

  • Spot-checks documentation to ensure accuracy to ensure that all balances are correct before mailing to patient/guarantor.
  • Is responsible for follow-up on all assigned accounts of in-house and/or discharged patients.
  • Maintains and keeps current accounts assigned to collection work list to ensure a prompt follow-up.
  • Begins follow-up on accounts no less than 20 days from billed date and continues every 14 days or less as required. (When working accounts with multiple unpaid cycles/claims all cycles must be worked.)
  • Clearly documents in the patient accounting system every contact made to or by third party payor, patient, family or employee.
  • Advises Business Office Manager of problem payors and/or accounts at time an issue is identified which may result in non-payment of claims.
  • Monitors and records all payments made on patient accounts, prorates balance to next payor or patient, and changes financial class appropriately.
  • Notes payment discrepancies and resolves within 48 hours.
  • Identifies inaccurate guarantor/admit data to Business Office Manager if consistent to ensure appropriate corrective action at front end occurs.
  • Is responsible for making sure that accounts have been properly worked before moving to next financial class for insurance or patient responsibility.
  • Audits for accuracy and prepares all adjustments and/or refunds within 48 hours of discrepancy being identified and submits to manager for approval according to established departmental procedures.
  • Scans or submits information to be scanned in patient files as needed to keep all supporting documentation.
  • Performs any other duties as assigned by the Business Office Manager.
  • Verifies and submits to Biller any additional information needed when billing (claim forms, EOBs, Medical Records, etc.)
  • Sends request to patient for any necessary information (claim forms, account status, coordination of benefits, divorce decrees, termination of benefits letters, etc).
  • Timely request bills for all secondary insurance and request re-files for any missing or lost bills.
  • Correspondence is answered within 48 hours of receipt.
  • Reports any backlog to Business Office Manager; works with Business Office manager to resolve that backlog.

Keywords: Acadia Healthcare, Saint Charles , Patient Account Representative, Other , Saint Charles, Missouri

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