Job Title: Patient Accounts Representative | PFS Collections | Multi-City
City: Sioux Falls
Department : PFS Collections
Job Schedule: Full Time
Hours Per Shift: 8 hr
Performs a variety of office/clerical accounting functions for the health care facility including claims processing, proper accounting for facility and professional costs, payment collection, accounting and follow-up, and associated customer service. Conducting entry, editing and submission of electronic and hardcopy healthcare claims to various payers (Government, Managed Care and Private Insurance). Participating in accounts receivable collections and payer/patient follow-up to include receipt entry, receipt balancing, payer denial review, insurance verification and appeals processing. Reviewing accounts to insure all charges are computed correctly or appropriate adjustments are made for both hospital and professional fees. Receiving and documenting in the information system patient responsible payments including co-payments and time of service charges.
Works with vendors to assure that products or services are delivered to time and quality specifications. Utilizes privacy standards when sharing, accessing and storing data. Collects required data through various data sources. Applies the concept of collaboration to build relationships and coordinate with other teams. Selects most appropriate communication approach depending on message and audience. Uses a variety of computer hardware, operating systems, utilities and applications. Explains the relationships with claims adjusters, insurance companies, outside legal counsel, and other claims related parties. Describes major tasks and responsibilities of a customer support function Seeks information from resources such as major industry publications and professional associations. Participates in major data entry operations department or roles. Clarifies basic principles, processes and terminology related to the insurance business. Maintains accounts receivable records as a regular part of daily work.
The Patient Accounts Representative will spend 90-95% of their day on the phone either receiving calls, or making collections calls to patients, physicians, departments or insurance companies. The hours for this position are Monday-Thursday 9:30-6:00 p.m. and Friday 8:30-5 p.m. This position will sit in either Fargo, ND or Sioux Falls, SD.
Minimum of a high school education, however, some trade course classes in accounting, business and communications would be very helpful in this position. Previous experience in billing preferred but not required. **** or send an email to **** .
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Job Function: Revenue Cycle
Job Schedule: Full Time
Req Number: req21704