Patient Account Rep - Union Hospital - Terre Haute, IN

ESSENTIAL JOB FUNCTIONS:
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Resolves billing problems and differences with patients, insurance companies, physicians, and attorneys.

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Answers incoming phone calls in a competent and caring manner.

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Audits accounts.

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Verifies and sets up insurances properly for filing claims.

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Demonstrates the ability to file primary and secondary insurance claims.

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May file deceased claims with probate court.

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Reviews daily appointment lists for delinquent balances, returned checks, payment arrangements, etc.

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May process chapter 7 bankruptcy claims ready for data entry.

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Processes incoming mail correspondence.

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Assists in training new employees.

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Sets up payment arrangements:
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Sets up surgery, delivery, and miscellaneous deposit arrangements.

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Processes all miscellaneous outside income checks for physicians.

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Maintains a file of estimated date of confinement on all OB patients.

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Posts delivery charges on Hospital charge sheet after delivery, ready for data entry.

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Processes returned checks ready for data entry.

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Makes collection calls from collector reports.

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Transfers patients from one account to another.

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Documents pertinent information.

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Responds timely and appropriately to all customer concerns regarding billing questions or any other problems.

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Performs other duties as assigned by manager.

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Is competent in performance of department-specific skills.

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Demonstrates knowledge of Clinic policies, procedures, and computer system.

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Attends departmental meetings and in-service training and educational programs.

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May process accounts for bad debt write-offs and/or process bad debt payments.

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Researches accounts by microfiche for purged information.

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Keeps work area neat and organized.

CUSTOMER SERVICE STANDARDS

Customer Service (a customer is anyone, internal or external, with whom you come into contact, i.e., co-workers, patients, visitors, etc.)

1)

Attitude

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Promptly responds to customers in a friendly manner, listening carefully and using customer’s name.

Every customer greeted with a smile.

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Is consistently courteous and helpful.

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Is considerate, sensitive and tolerant of all customers and their differences.

2)

Professionalism

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Answers telephone promptly, consistently identifies self and department and returns calls promptly.

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Is responsible for ensuring that all patient, facility and employee information is not compromised.

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Respects privacy of all by eliminating gossip and unprofessional talk.

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Displays a professional appearance at all times, including appropriate dress as defined in employee handbook and wearing visible identification badge at all times.

3)

Commitment

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Welcomes and supports all customers.

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Displays follow through at all times to ensure customer satisfaction.

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Is honest in all interactions

4)

Ownership

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Takes pride in organization as if you own it, speaks positively about the organization and practices safety as a daily work habit.

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Continually seeks new and better ways of doing things.

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Supports and participates in various teams, events and activities provided by the Clinic.

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TRAINING, EXPERIENCE, SKILLS AND ABILITIES NEEDED:
1.

Working grasp of standard written and verbal English, good spelling and grammar accomplished at basic business math.

2.

Must meet and deal successfully with a wide variety of people.

3.

Must have good knowledge of ICD-9, CPT coding.

4.

Medical terminology helpful.

5.

Must possess good telephone skills.

6.

Must possess one year of insurance experience in a medical office setting.

7.

Must have two years of previous collection experience in a medical setting.

PHYSICAL DEMANDS:
While performing the duties of this job, the employee is regularly required to talk or hear.

The employee frequently is required to sit and use hands to finger, handle, or feel objects, tools, or controls.

The employee is occasionally required to stand, walk, and reach with hands and arms.

The employee must frequently lift and/or move up to 30 pounds.

Specific vision abilities required by this job include close vision and the ability to adjust focus.

OSHA III Classification.

TOOLS AND EQUIPMENT:
1.

General office equipment; i.e. telephone, photocopier, calculator, etc.

2.

Computer/equipment

EOE/M/F/Vet/Disabled