Patient Account Representative 2 – Hospital

This is a fully remote position, open to applicants in Louisiana.

📋 Description

• The Patient Accounts Representative 2 collaborates with patients, colleagues, and external organizations to ensure timely payment and/or reimbursement for hospital and/or professional services.

• This role is accountable for overseeing patient accounts, which encompasses, but is not limited to: submitting claims, investigating and analyzing backend denials; determining appropriate measures for submitting provider claims; handling outbound and inbound communications with insurance carriers, providers, and patients; processing payments; conducting collections; making account adjustments and filing appeals.

⛳️ Requirements

• Customer Service

• Swiftly addresses inquiries from patients, colleagues, and staff regarding patient accounts in a friendly and professional manner.

• Aids in delivering quality training and orientation for designated employees.

• Payer Relations

• Informs patients or guarantors about third-party payer benefits and estimated private payer amounts, and collects partial payments before admission in a way that fosters the provision of high-quality healthcare services by the department.

• Examines patient documents for accuracy of reported information and investigates discrepancies on patient accounts, billing and insurance issues, and lost payments to ensure precise record-keeping and efficient departmental operations.

• Makes written and verbal inquiries to third-party payers, reconciles patient accounts, and establishes payment arrangements to alleviate financial burdens on patients and ensure their interests are effectively represented.

• Coordinates and initiates payroll deduction actions for hospital employees following established policies and procedures, and supervises the mailing of collection letters for delinquent unpaid patient accounts efficiently and prudently.

• Sends detailed patient account statements at the request of attorneys or in response to subpoenas in a professional and diligent manner.

• Reviews claims to ensure compliance with payer-specific billing requirements.

• Follows up on claims, identifies, and implements appropriate adjustments.

• Updates accounts as necessary.

• Receivables

• Collaborates with external agencies and companies to facilitate prompt reimbursement for hospital services to patients. Explains and clarifies hospital charges, services, and payment policies to patients and their families in a manner that is sensitive to their needs and financial circumstances.

• Quality

• Maintains a quality accuracy average of 95%.

• Achieves production targets set by management for specialty focus.

• Completes assigned tasks thoroughly within the requested timeline.

• Other Duties As Assigned

• Performs additional duties as assigned or requested.

🏝️ Benefits

• Requires 2 years of relevant experience; a Bachelor's Degree can substitute for 2 years of experience, while an Associate's Degree, trade school, or certification can substitute for 1 year of experience.

• Relevant experience may include roles such as LPN, RN, Revenue Cycle, Accounting, Bookkeeping, Business, Billing, Coding, or in call center environments.

• High School diploma or equivalent is mandatory.

• Must possess knowledge of ICD-9/10, CPT, and HCPCS coding. Accurate data entry skills are essential. Ability to manage multiple phone lines for incoming and outgoing calls is required. Understanding of the explanation of benefits from various managed care companies is essential. Must demonstrate teamwork and a willingness to cooperate and support colleagues, while adhering to FMOLHS policies and procedures.