Oasis Behavioral Health
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Billing and Collecting (Patient Account Representative)
at Oasis Behavioral Health
Provide patient account services to include verifying patient insurance benefits/eligibility, create financial charts, obtain required patient signatures and update logs. Assist with payment collections, post physician charges and other designated administrative tasks.
OVERVIEW/SUMMARY OF POSITION:
Responsible for billing and collections of client accounts including electronic claim filing and review follow up. Confirms successful claims transmission in clearinghouse. Performs follow insurance calls, claim status review via insurance portal, website or phone call. Prepares balance due letters and collection calls. Evaluates need for bad debt referral and prepares and submits account adjustments for approval.
SCHEDULE: 8AM-4:30PM MONDAY - FRIDAY
***MONETARY INCENTIVES AVAILABLE FOR MEETING COLLECTION GOALS.***
Verify and document detailed patient insurance benefit and eligibility information in HMS, logs and in financial charts for all inpatient and outpatient services.
Verify eligibility for all Medicare patients and printout eligibility inquiry.
Check in/register patients when needed to include financial counseling, payment collections, etc.
Post physician charges into PMC and keep physician logs updated.
Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.
Create financial charts for each inpatient and/or outpatient admission.
Obtain required patient signatures/data for all services.
Collect patient payments as identified. All collected payments must be logged in the designated tracking tools and reconciled. Payment collections must have corresponding receipt in receipt book and must be securely locked until taken to responsible party for deposit.
Assist the Business Office by obtaining insurance claim status for unpaid claims when assigned to a claim status project.
Perform other functions and tasks as assigned.
- High School diploma or equivalent required.
- Three years prior admissions and or collections experience in a hospital setting required, psychiatric experience preferred.
- Knowledge of ICD-9 and CPT coding required.
- Knowledge of 10 key, computer experience and familiar with excel and word programs.
- Knowledge of accounts receivable and revenue cycle.
- Knowledge of insurance terminology and procedures.
- Excellent communication and organizational skills, customer service skills.
- Knowledge of Medhost patient accounting and census tracking is a plus.
ADDITIONAL REGULATORY REQUIREMENTS:
A valid Finger Print Card is required.
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. Additional duties and responsibilities may be required of the job holder based upon business needs and at the request of Facility.