Patient Account Representative

Company: Clark Fork Valley Hospital
Location: Plains
Posted on: March 13, 2023

Job Description:

SUMMARY Verifies hospitalization insurance coverage, computes patients' benefits, and compiles itemized hospital bills by performing the following duties. -ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. -

• Evaluates notes on patient accounting system to determine next step in pursuing insurance payment on outstanding account balances assigned.
• Documents all problem-solving and insurance collections efforts made in a clear and concise manner in the notes screen of the accounting system.
• Identifies trends in preventable system errors as well as payor trends that result in slow payments or non-payment of charges.
• Communicates discrepancies to the correct department manager for prompt correction. - Trends errors for direct management.
• Conducts discussions with patients in regards to answering questions regarding insurance coverage.
• Covers other areas within the office as needed, serves as backup to other responsibilities during times with the office is short-staffed.
• Works assigned work queues and other duties on a daily basis, resulting in timely payments, balancing of patient accounts, and refunds or adjustments when necessary.
• Contacts insurance companies when appropriate and submits corrected information or additional information as needed to insurance companies to attempt the best reimbursement possible for each patient account. -QUALIFICATIONS - To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. -EDUCATION and/or EXPERIENCE Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience. -Powered by JazzHR

Keywords: Clark Fork Valley Hospital, Coeur d'Alene , Patient Account Representative, Other , Plains, Idaho