What are the responsibilities and job description for the Patient Account Rep-Per Diem position at Martha's Vineyard Hospital?
Summary
As the Patient Accounts Representative, the primary purpose of your job, under the supervision of the Patient Accounts Director, is the timely and accurate filing and follow-up of third-party claims.
Does this position require Patient Care?
No
Essential Functions
-Ensure accurate billing for all patient accounts to maximize reimbursement for the hospital.
-Works with insurance companies to verify coverage, follow up on account status and to identify any account issues and resolve them.
-Proficient in use of hospital computer module and various insurance websites to verify insurance, inquire status of claims, to update patient insurance and enter comments on accounts to provide a complete historical record of all activities.
-Resolves account issues in a timely manner while documenting correspondence with the patient.
-Responds to patient billing inquiry from both patient and insurance companies in a timely fashion via all communication tools (phone, fax, email, etc.) until all questions/issues have been resolved.
-Understands the billing cycle, insurance coverage and benefits and can convey this information to patients.
-Refer patients to the corporate customer service department for residual collection and or payment plans.
-Accurately performs all billing functions: credit refunds, un-billing, adding insurance, etc.
-Informs Patient Accounts Director of any backlogs and delays in billing or correspondence and any billing issues that cannot be resolved.
-Works in collaboration and maintains a good working relationship with all entities (ex.
-Physicians' officed, ancillary departments, insurance representatives, etc.) to ensure all activities regarding patient accounts are complete, accurate and timely filing.
-Maintains patient confidentiality.
-Follow MGB and MVH billing credit collection policies and procedures.
-Meet all MVH and MGB billing metrics.
-Maintains a neat and orderly workstation.
Martha's Vineyard Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Martha’s Vineyard Hospital and Windemere Nursing & Rehabilitation Center are Equal Opportunity Employers. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.
As the Patient Accounts Representative, the primary purpose of your job, under the supervision of the Patient Accounts Director, is the timely and accurate filing and follow-up of third-party claims.
Does this position require Patient Care?
No
Essential Functions
-Ensure accurate billing for all patient accounts to maximize reimbursement for the hospital.
-Works with insurance companies to verify coverage, follow up on account status and to identify any account issues and resolve them.
-Proficient in use of hospital computer module and various insurance websites to verify insurance, inquire status of claims, to update patient insurance and enter comments on accounts to provide a complete historical record of all activities.
-Resolves account issues in a timely manner while documenting correspondence with the patient.
-Responds to patient billing inquiry from both patient and insurance companies in a timely fashion via all communication tools (phone, fax, email, etc.) until all questions/issues have been resolved.
-Understands the billing cycle, insurance coverage and benefits and can convey this information to patients.
-Refer patients to the corporate customer service department for residual collection and or payment plans.
-Accurately performs all billing functions: credit refunds, un-billing, adding insurance, etc.
-Informs Patient Accounts Director of any backlogs and delays in billing or correspondence and any billing issues that cannot be resolved.
-Works in collaboration and maintains a good working relationship with all entities (ex.
-Physicians' officed, ancillary departments, insurance representatives, etc.) to ensure all activities regarding patient accounts are complete, accurate and timely filing.
-Maintains patient confidentiality.
-Follow MGB and MVH billing credit collection policies and procedures.
-Meet all MVH and MGB billing metrics.
-Maintains a neat and orderly workstation.
Education
High School Diploma or Equivalent required and Associate's Degree Related Field of Study preferred and Other Certificate/Diploma Medical Billing and Coding preferred
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Experience
2-3 years of previous billing experience in the health care industry in functions such as hospital or medical billing, previous claims processing or similar industry experience, including PC/computer experience with working knowledge of all phases in billing procedures. 2-3 years required
Knowledge, Skills and Abilities
Physical Requirements
- Standing Occasionally (3-33%)
- Walking Occasionally (3-33%)
- Sitting Constantly (67-100%)
- Lifting Occasionally (3-33%) 20lbs - 35lbs
- Carrying Occasionally (3-33%) 20lbs - 35lbs
- Pushing Rarely (Less than 2%)
- Pulling Rarely (Less than 2%)
- Climbing Rarely (Less than 2%)
- Balancing Occasionally (3-33%)
- Stooping Occasionally (3-33%)
- Kneeling Rarely (Less than 2%)
- Crouching Rarely (Less than 2%)
- Crawling Rarely (Less than 2%)
- Reaching Occasionally (3-33%)
- Gross Manipulation (Handling) Constantly (67-100%)
- Fine Manipulation (Fingering) Frequently (34-66%)
- Feeling Constantly (67-100%)
- Foot Use Rarely (Less than 2%)
- Vision - Far Constantly (67-100%)
- Vision - Near Constantly (67-100%)
- Talking Constantly (67-100%)
- Hearing Constantly (67-100%)
Martha's Vineyard Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Martha’s Vineyard Hospital and Windemere Nursing & Rehabilitation Center are Equal Opportunity Employers. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.
