What are the responsibilities and job description for the Patient Accounts Representative position at North Central Health Care?
Job Description
Job Description
The Opportunity :
The Patient Accounts Representative shall be responsible for billing services monthly and monitoring the accounts receivable.
This is a full-time, on-site position. The pay range for this role is $19.60 - $21.60 based on experience.
Who We Are :
North Central Health Care is an organization serving Langlade, Lincoln and Marathon counties within the fields of mental health treatment, addiction services, long term care, short term care, physical therapy, crisis stabilization and so much more. We have amazing employees who provide exceptional care and want to add to our team.
What You’ll Do :
- Maintains regular on-site attendance
- Verify accuracy of billable service data
- Ensure compliance with third party contracts and policies
- Review payments and denials to determine appropriateness from third party payors
- Review billing statements for accuracy and payor requirements
- Ensure self-pay bills reflect maximum amounts that may be billed based on Wisconsin administrative code
- Communicate with clients / responsible party regarding billing and fees charged, and third-party payors and payment requirements, includes written and verbal communication
- Closely monitor all assigned accounts to ensure that all activity affecting that account is requested and recorded in a timely fashion. Also ensure closure is reached within a reasonable time as defined by policy and procedure.
- Make adjustments, transfers, write-offs, and complete appeals when applicable
- Send correspondence
- Ensure timely billing to secondary payors within filing deadlines
- Follow collection procedures to collect on non-payment self-pay accounts
- Follow up with incorrect payments and denials from third party payors including but not limited to resubmission of claims for payment
- Process refunds as necessary
- Submit monthly invoices of other county, group home, inpatient, outpatient, and nursing home, as assigned to client and third-party payors, within established timelines
- Be the contact for the collections agencies and work with them in accordance with facility policies and procedures
- Be the contact with third party payors to ensure payment in a timely fashion
- Process bankruptcy and probate according to established guidelines
- Download Explanation of Benefits on internet for some electronic payments
- Review of daily obituaries online for any clients; send to appropriate areas.
What You Bring :
What You’ll Get :
In compliance with the American with Disabilities Act, NCHC will provide reasonable accommodations to qualified individuals and encourages both prospective and current employees to discuss potential accommodations with the employer. North Central Health Care is an Equal Opportunity Employer.
Salary : $20 - $22
