Patient Account Representative

Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

• Under the supervision of the Business Office Manager, and according to specified procedures, arranges for the efficient and orderly admission of patients
• Ensures that accurate patient information is collected and that patients are aware of hospital procedures
• Receives and reviews past due bills and follow-up documents and obtains other information on past due accounts, including any special circumstances; contacts patients and/or third-party payer organizations to secure payments; identifies problem delinquencies and recommends their disposition; prepares and maintains collection-related records
• Receives and answers billing-related inquires
  
  

Essential Functions

• Accurately and efficiently processes patient accounts, including billing, collections, and payment posting
• Responds to and resolves inquiries from patients, insurance carriers, and internal departments
• Prepares and submits claims using billing systems; works claim edits and rejections
• Follows up on unpaid accounts and performs collections activities as appropriate
• Researches and applies unidentified payments
• Balances daily cash posting and reconciles discrepancies
• Files appeals and reconsideration requests as per department protocol
• Identifies and reports overpayments; ensures appropriate refunds
• Participates in A/R clean-up projects and other revenue cycle initiatives
• Maintains productivity and quality standards while managing daily work queues
• Demonstrates ownership and accountability in completing assignments
  
  

Knowledge/Skills/Abilities/Expectations

• Ability to communicate effectively, both verbally and in writing
• Ability to work independently with minimal supervision
• Strong customer service and interpersonal skills
• Basic general accounting and bookkeeping knowledge
• Knowledge of medical billing practices and medical terminology
• Proficient in Microsoft Excel, Word, Outlook, and experience with systems such as Epic and SSI (preferred)
• Operates 10-key pad efficiently (for cash posting roles)
• Demonstrates flexibility and teamwork across all business office functions
  
  

Qualifications

Education

• Minimum of a High School Diploma or GED
  
  

Licenses/Certifications

• None Required
  
  

Experience

• Minimum of 2 to 5 years in Hospital admissions procedures preferable