Job Description Summary:

　　Promotes a positive and professional organizational image. To have a written summary of all the responsibilities required of the Patient Account Representative.

　　Qualifications:

　　High school graduate or GED preferred.

　　Data entry experience preferred. Proficiency with software including but not limited to Excel, MS Word, Outlook, etc.

　　Minimum one (1) year experience in a medical or other healthcare office setting preferred. Combination of education and experience will be considered.

　　Knowledge of basic billing procedures, financial reports, medical terminology, various medical forms, reports, and processing.

　　Understand HIPAA and Privacy compliance with regards to the Hospital Setting.

　　Communications skills including but not limited to verbal communication with individuals or small groups (patients, physicians, administration, and co-workers) and written communication with experience in writing business centered emails or letters.

　　Job Specific Duties:

　　The Patient Accounts Representative is responsible for all billing forms needed in the processing of collecting all funds collectable as payment on patient accounts, timely and accurately.

　　Must be able to obtain and enter all patient demographic information, verify third party information, determine time of service cash deposit for visit by accurately identifying patient’s coverage, deductible and co-pay.

　　Reviews remittance advices to determine significant problems causing rejections and denials.

　　Reviews and prepares adjustments to patient accounts under supervisors and CFO’s approval.

　　Handles inquiry requests from sponsors and patients, regarding patient accounts and ascertains that they are answered correctly and timely.

　　Must be able to identify the average cost of procedure or service and provide financial counseling

　　Prepares all billing forms needed in the processing of collecting all funds collectable as payment on patient accounts, timely and accurately.

　　Maintains appropriate and professional communication with patients, payers and physicians and collection agencies regarding claim processing, billing and collections.

　　Reviews monthly A/R reports for follow-up on patient accounts.

　　Maintains current knowledge of in-house financial assistances programs helps patient’s complete application.

　　Handles inquiry requests from sponsors and patients, regarding patient accounts and ascertains that they are answered correctly and timely.

　　Works, productively, with Medical Records to ensure diagnosis follow-up procedures do not hinder billing and collection of patient accounts.

　　Assists with up-front collection efforts.

　　Demonstrates ability to prepare and balances daily cash log and deposit, accurately and timely.

　　Assists with the performance of reception desk functions to include but not limited to: admissions, answering and directing incoming phone calls, etc.

　　Maintains current knowledge of National and State insurance programs and applicable billing requirements. I.E. Medicare, Medicaid, BC/BS of Montana, Etc.

　　Maintain compliance with all Federal and State regulations as pertains to this position.

　　The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position.

　　Maintains regular and consistent attendance as scheduled by department leadership.

　　Shift:

　　Day Shift - 8 Hours (United States of America)

　　Schedule Details:

　　Please know schedules and shifts are subject to change based on patient care and department/organizational needs.

　　Schedule:

　　Logan Health operates 24 hours per day, seven days per week. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

　　Notice of Pre-Employment Screening Requirements

　　If you receive a job offer, please note all offers are contingent upon passing a pre-employment screening, which includes:

　　Criminal background check

　　Reference checks

　　Drug Screening

　　Health and Immunizations Screening

　　Physical Demand Review/Screening

　　Equal Opportunity Employer

　　Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability or any other basis protected by applicable law. If you require accommodation to complete the application, testing or interview process, please notify Human Resources.

　　Our people are everything.

　　The amazing providers, employees, and volunteers at Logan Health gift this organization with their innovation, knowledge, and compassion. Together, we're connecting our community to trusted, quality care and helping to improve lives every day.

　　Do you dream of living and working in a beautiful area surrounded by stunning scenery and endless recreation?

　　Are you ready to evolve your career while working alongside passionate, talented, brilliant people?

　　Join our remarkable team and create positive patient experiences every day!