Liability Insurance Account Representative - Patient Financial Services - FT - Day

Position Status:

Full time

Shift:

First Shift (Days - Less than 12 hours per shift) (United States of America)

Hours per week:

40

Job Information
Exemption Status: Non-Exempt

A Brief Overview
Liability Insurance Account Representative is responsible for ensuring efficient, accurate and timely processing for time of service registration and final third- party payment accounts for hospital and physicians from billing to resolution for, automobile, workers compensation and liability patient accounts.

Education Qualifications

• High School Diploma / GED Required
Associate's Degree Preferred

Experience Qualifications

2 years Experience in a clinical healthcare setting such as physician's office or hospital relating to patient financial services, patient registration, patient scheduling or related healthcare experience, or claims processing experience in the liability insurance field. Required

Skills and Abilities

• Excellent interpersonal and communication skills. (Required proficiency)
• Ability to negotiate and problem solve independently. (Required proficiency)
• Ability to handle multiple tasks and make independent decisions regarding work prioritization and coordination. (Required proficiency)
• Working knowledge of medical terminology. (Required proficiency)
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages. (Required proficiency)

What you will do

• Has detailed understanding of automobile, workers compensation and premise liability insurance rules, regulations policies and procedures, as well as, commercial health insurance, Medicare, Medicaid and other federal health insurance programs rules, regulations, policies and procedures.
• Working with third party payors to ensure timely and accurate billing and resolution of denied payments on liability claims, following-up on liability insurance correspondence and following up on unpaid liability claims exceeding the clean claim payment cycle.
• Working with third party payors to ensure completion of electronic insurance verifications, identifying managed care issues and referring as appropriate for billing and resolution, obtaining appropriate signatures to satisfy legal and health system requirements and completion of required forms.
• Working with patients directly for collection, validation and updating the patient’s comprehensive data set and documenting that information in EPIC. Provides patient financial education and finalizes financial resolution, financial assistance screening, and completes additional registration admission, and transfer functions as applicable.
• Accurately and efficiently processes transactions on patient accounts to ensure ultimate resolution of those account balances.
• Ensures customer concerns are processed in compliance with SVHC policies while maintaining the highest level of patient and employee rights, including confidentiality of patient information and personnel issues.
• Ensures necessary data, identified processing issues and related information is provided to departmental management, appropriate departments and individuals within the organization in a timely manner.
• Reads and comprehends correspondence from government and third-party payors to keep abreast of new regulations, policies and billing and payment requirements.
• Applies advanced technical billing knowledge to track and resolve service data edits. Clears all applicable comprehensive data bill edits in system.
• Identifies insurance sources, collections and documents detailed and accurate insurance information in a timely manner.
• Completes electronic insurance verification for all participating payers using an electronic eligibility system.
• Validates accuracy of insurance information and completed insurance verification for specific payors that do not participate in electronic eligibility by established procedures (phone calls, websites, etc.).
• Identifies managed care provisions and follows up with appropriate parties to resolve outstanding issues.
• Researches and accurately resolves automobile, workers compensation and liability insurance accounts via internet, e-mail, direct calls, eligibility system, etc. utilizing system worklists, system reports, payer rejection listings, etc.
Thoroughly researches and resolves identified payment discrepancies in a timely manner including identifying and correcting posting errors (i.e., money applied to wrong account).

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
Performs other duties as assigned

Patient Facing Options

Position is Not Patient Facing

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

Hybrid

Scope

• No Supervisory Responsibility
No Budget Responsibility No Budget Responsibility

Physical Demands

• Eye/Hand/Foot Coordination: Rarely less than 1 hour
• Hearing: Continuously greater than 5 hours
• Reaching (Forward): Continuously greater than 5 hours up to 10 lbs
• Repetitive Motions: Continuously greater than 5 hours
• Sitting: Continuously greater than 5 hours
• Standing: Occasionally 1-3 Hours
• Talking: Continuously greater than 5 hours
• Walking: Occasionally 1-3 Hours

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.