Senior patient account representative job description

• 2 years of Acute Medi-Cal Hospital Collections experience.

• 3 years of Successful experience in the health care field in a position demonstrating independent organizational and time management abilities.

• 3 years of Working with and proficiency in use of systems, personal computer and Software.

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Requsition ID: 120596

Company: Providence Jobs

Job Category: Patient Financial Services

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Admin Support

Department: 4001 SS RC GOV ADM BILL NW

Address: CA Torrance 4180 W 190th St

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Why work at TidalHealth? Looking for a rewarding place to work? Choose TidalHealth. Our hospitals have been named among the Top 5 percent of all U.S. hospitals by Healthgrades and a five-star hospital by the Centers for Medicare # Medicaid Services. Located just 30 minutes from the beach, TidalHealth offers the widest array of specialty and subspecialty services such as neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage of our tuition assistance and scholarship programs to grow both personally and professionally. Patient Account Representative Position Summary Responsible for the billing, follow-up and collection of Medical Center receivables in order to maintain positive cash flow and reduce accounts receivable and A/R days, in compliance with all applicable regulations. Patient Account Representative Position Requirements Education High School graduate or equivalent required. Advanced courses in computer, office or public relations preferred. Experience One to two years# business office experience. Speed and accuracy with keyboard and calculator, and computer experience. Experience in healthcare billing, collection, or registration preferred. Customer service experience preferred. Requires six months on-the-job training. Certified Patient Account Technician (CPAT) preferred. Patient Account Representative Benefits# At TidalHealth, full-time employees working at least 72 hours per pay period, part-time employees working at least 36 hours per pay period and part-time employees working at least 30 hours or more on weekends only are eligible for benefits. Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off plans, retirement plans, tuition assistance, employee assistance, and access to on-site childcare and a credit union.
Why work at TidalHealth?

Looking for a rewarding place to work? Choose TidalHealth. Our hospitals have been named among the Top 5 percent of all U.S. hospitals by Healthgrades and a five-star hospital by the Centers for Medicare & Medicaid Services. Located just 30 minutes from the beach, TidalHealth offers the widest array of specialty and subspecialty services such as neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage of our tuition assistance and scholarship programs to grow both personally and professionally.

Patient Account Representative Position Summary

Responsible for the billing, follow-up and collection of Medical Center receivables in order to maintain positive cash flow and reduce accounts receivable and A/R days, in compliance with all applicable regulations.

Patient Account Representative Position Requirements

Education

* High School graduate or equivalent required.
* Advanced courses in computer, office or public relations preferred.

Experience

* One to two years' business office experience.
* Speed and accuracy with keyboard and calculator, and computer experience.
* Experience in healthcare billing, collection, or registration preferred.
* Customer service experience preferred.
* Requires six months on-the-job training.
* Certified Patient Account Technician (CPAT) preferred.

Patient Account Representative Benefits

* At TidalHealth, full-time employees working at least 72 hours per pay period, part-time employees working at least 36 hours per pay period and part-time employees working at least 30 hours or more on weekends only are eligible for benefits.
* Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off plans, retirement plans, tuition assistance, employee assistance, and access to on-site childcare and a credit union.

PRIMARY FUNCTION: Patient Account Representative is responsible for managing and monitoring all tasks and communication related to the intake of information from guarantors and/or delinquent accounts to solicit payment. Other duties include: keeping records of collections and status of accounts, and taking incoming and make outbound calls to assist with patient account balances.
ESSENTIAL FUNCTIONS OF THE JOB: (This list may not include all of the duties that may be assigned.)

1. Monitor queue to ensure calls are being handled professionally and appropriately.

2. Perform analysis, research, and making decisions to appropriately handle phone inquiries.

3. Review accounts and responsible for completing adjustments to ensure correct reimbursement as instructed by Manager.

4. Identify delinquent accounts, aging period, payment sources, and correct any claim processing (data entry, verification, coding and/or posting) errors identified.

5. Manage requests for medical records, correspondence, and/or Explanation of Benefits (EOB). Research proper processing and/or payment of accounts from patients with or without insurance.

6. Responsible for collection efforts and for taking the appropriate steps to have claims processed for payment (i.e. re-submitting claims or filing claims appeal for payment or additional payment).

7. Keeps Manager abreast of any changes, and documents any problems related to work methodology procedural and recommends actions.

8. Identify and resolve patient billing disputes by evaluating patients' financial status, establishing budget payment plans, collecting payments, and refunding patient credits.

9. Demonstrate good judgement and reads and abides by the company's code of conduct, ethics, employee handbook, policies and procedures and other corporate mandates.

10. Accountable for limiting the use and disclosure of Protected Health Information (PHI) for patients and employees information to the Minimum Necessary in order to perform job.

11. Other various duties as assigned, including cross training in other functional areas. *Non patient-facing PERFORMANCE REQUIREMENTS:

Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy, Federal, State, and local regulations.

TYPICAL WORKING CONDITIONS: Indoor Work Operating Computer Reach Outward Manual Dexterity Lift/Carry 10 lbs. or less Sitting

Other Physical Requirements: Vision Sense of Sound Sense of Touch

EDUCATION: High School Diploma or equivalent required.

LICENSURE/CERTIFICATION: None

EXPERIENCE: Minimum 1 year of customer service experience in a healthcare setting required.

KNOWLEDGE, SKILLS & ABILITIES: • Knowledge of billing and collection policies and procedures, all types of insurance (HMO, PPO, POS, Medicaid etc.) Skill in defining problems, interpreting billing information. • Ability to multi-task in a face paced environment while meeting established production and quality goals/metrics. • Strong organizational skills, with ability to effectively prioritize work and daily basis and follow up on open items in a timely manner. • Must have strong verbal, written, and interpersonal communication skills • Demonstrates ability to work well in a team environment. • General PC knowledge including Microsoft Office, Internet and Email.