What are the responsibilities and job description for the Patient Account Representative PRN position at Acadia Behavioral Health (Pioneer Behavioral Health)?
Employment Type: Part-Time
The ideal candidate will be available for PRN work from 8AM-5PM Monday through Friday,
Hourly Range: $23.00-$27.00 DOE
Pacific Grove Hospital, is a nationally recognized 68 bed acute psychiatric and chemical dependency treatment center offering inpatient & outpatient services for psychiatric illnesses, addictions & co-occurring disorders. Our hospital offers comprehensive training, dynamic leadership, and personalized support so you can achieve your greatest potential.
Patient Responsibilities include:
- Call and status outstanding claims with third party payors.
- Review claims issues and make corrections as needed and rebill.
- Utilize claims clearing house to review and correct claims. Resubmit electronically when available.
- Review explanation of benefits to ascertain that claim processed and paid correctly.
- Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
- Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.
- Prorate patient accounts and monitor that balance due is in the correct financial class.
- Report an overview of the week to the BOD and participate in AR meetings.
- Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
- Assist financial counselors as needed.
- Alert Financial Counselors and Business Office Director/Manager of all benefit eligibility matters that suggest or challenge reimbursement.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- High school diploma or equivalent required.
- Three or more years’ prior admissions and or collections experience in a hospital setting required.
- Psychiatric experience preferred.
- Experience with insurance verifications required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Not applicable
Salary : $23 - $27
