What are the responsibilities and job description for the Patient Accounts Representative position at Kahuku Medical Center?
Position: Patient Accounts Representative
Department: Billing and Collections
Status: Full-Time, Bargaining (UPW)
FLSA: Non-Exempt
Rate: $22.38/hr
Position Purpose:
Prepares and arranges patients for discharge form the hospital. Ensures patient information is complete, posted timely and accurately to the system. Receives, follows up and reprocesses insurance companies turn around documents timely and efficiently, maintains vigilance over self-pay patients’ balances, Medicaid or Medicare rejects, workman’s compensation, no fault insurance, and other specialized handling. Actively performs credit and collection activities to include resolving large balances, incorrect balances, unapplied payments, refunds or other problems that affect a patient’s account. Prepares, forwards and monitors accounts sent to the legal and outside collection agencies.
Essential Functions:
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- Performs hospital admission functions to include greeting and receiving patients, obtaining demographic and financial information, registering patient in hospital systems, and contacting authorities or families when appropriate.
- Provides initial financial counseling to the patient and/or guarantor and determines the classification of the patient for financial purposes.
- Directs patient to appropriate financial assistance when required.
- Handles pre-admission and discharges, completes appropriate forms, collects appropriate patient payment for services rendered and makes appropriate entries into the computer system.
- Promptly and accurately enters charges and payments into the computer system and collects patient payments.
- Performs all billing and collection efforts for self-pay patients and self-pay portions after insurance.
- Follows up on accounts until paid in full or turned over to collections.
- Interviews, assists, and counsels patients who contact the hospital for assistance in resolving large account balances.
- Provides in-depth financial counseling to supplement the initial counseling to include informing patients of hospital policies, arranging suitable financial coverage for self-pay patients.
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Reviews accounts receivable reports to determine causes of inappropriate balances reflected by these reports. Takes appropriate action to reduce or minimize these types of balances to include recommending changes.
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Responds to patient inquiries concerning their accounts including billing status and account balance.
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Complies with all hospital and departmental policies and procedures, safety program requirements, corporate compliance program standards of conduct, all applicable statutes, rules and regulations.
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Performs other duties as assigned or requested.
Job Qualifications/Experience/Skills:
- Ability to type a minimum of 40 words per minute (wpm).
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Knowledge of the business use of computer hardware, software, including, but not limited to, Cerner, Microsoft Office, 3M Coding (or comparable system), etc.
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Associates Degree in health administration or comparable field preferred.
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Must have excellent communication skills (reading, writing, speaking, and understanding) in English.
Working Conditions/Physical Requirements:
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Prolonged walking and sitting for periods of time.
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Continuous handling, fingering and eye-hand-foot coordination, with frequent reaching
- Continuous use of corrected vision, depth perception, wide field of vision and color vision.
Salary : $22