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Patient Accounts Representative

Company: Hospital For Behavioral Medicine
Location: Worcester
Posted on: June 5, 2024

Job Description:

JOIN OUR TEAM AS A PATIENT ACCOUNTS REPRESENTATIVE!Your Work Matters How will you make a difference?This Patient Accounts Representative is responsible for posting all payments received from patients, insurance companies and third parties and will document payments into the patient accounting system. The position is located in a central business office environment for a freestanding psychiatric hospital organization.The Patient Accounts Representative is responsible for assisting with the timely follow-up and collection of behavioral health and chemical dependency claims for Inpatient and Outpatient levels of care to ensure the reimbursement of claims from various insurance companies.PRIMARY RESPONSIBILITIESPull remits manually and electronically for deposits daily.Accurately post payments and/or denials via ERA, EFT, and paper remits appropriately to accounts and balance payments posted back to the original deposit amounts.Identify payor issues proactively in relation to zero payment, payment variance, billing, and denials with a high degree of accuracy and report to Management.Maintain and balance cash log daily to treasury.Researches and resolves unapplied and/or unidentified cash receipts.Identifies allowances, deductibles and co-insurance and ensures accurate posting.Scans and uploads supporting documentation as needed.Investigates all insurance recoupments to determine if they are correct or need to be appealed.Runs electronic deposit reports and processes payments.Review and interpret insurance carrier explanation of benefits (EOB) to post appropriate payment and denial codes.Enter/correct charges for outpatient services.Code and post all receivables from insurance companies, and third-party payors on patient accounts.Adheres to Confidentiality and HIPAA Privacy and Security Policies and Procedures.Identify payor issues proactively in relation to zero payment, payment variance, billing, and denials with a high degree of accuracy and report to Management.Performs account follow-up on outstanding balances and takes the necessary action for account resolution in accordance with established federal and state regulations.Knowledge of professional fee billing, reimbursement and third-party payer regulation and medical terminology is required.Ensure the coordination of claim activities on various insurance portals and via phone to check claim status and resolve claim issues.Assist to resolve credit balances with insurance company & patients.Research and resolve insurance denials.Identify reason for claim rejections and complete proper action to ensure timely billing.Maintain third-party logs.Assist daily with benefit verifications for all new admissions as well as in-house patients.Update MedHost with accurate patient information to ensure that all data is accurate for clean claim billing.Able to read and understand an EOB.Your Experience Matters What were looking for:Education & Licensure (if applicable): High school graduate or equivalent preferred.Experience: A minimum of one (1) years experience in facility billing experience with knowledge of Medicare DDE and computerized systems strongly preferred, or related field, or any combination of education, training, or experience in a health care business office environment. Experience with insurance billing, computer and business software programs (Excel) preferred.Additional Skill Requirements: Knowledge of Microsoft Office including word, excel, and outlook. Excel-lent communication skills and a professional demeanor is needed. Detail oriented and possessing strong time management skills is necessary in order to manage multiple priorities in a fast-paced environment. May be required to work occasional overtime and flexible hours.Your Care Matters What we provide for our team:401(k) + matchingHealth insurance100% company-paid life insurance coverage up to 2x your annual salaryVision insuranceDental insurance100% company-paid long term disability insurancePaid time offPaid holidaysCafeteria on site + discounted mealsEmployee engagement eventsEmployee assistance programEmployee recognition programFree parkingWhat sets us apart?Career & training development opportunitiesDynamic and inclusive work environmentEngaged management team dedicated to your successA guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirationsDisclaimer: Select benefits are available to full-time positions only. Benefits are subject to change at the discretion of Hospital for Behavioral Medicine.Compensation:This is a full-time role and the expected compensation range is $21.00 - $27.50 hourly and a monthly incentive bonus plan! Were eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Patient Accounts Representative!Get to know us Outstanding Care, Compassionate People, Unparalleled ServiceDiscover a fulfilling career at Hospital for Behavioral Medicine (HBM)!Welcome to the heart of mental health treatment innovation in Worcester, MA! HBM, a cutting-edge 120-bed inpatient facility, is the leading provider of exceptional therapeutic care, prioritizing patient comfort and safety. In proud collaboration with UMass Memorial Health Care, our facility is conveniently situated near the UMass Memorial Medical Center, allowing us to serve the community with unwavering dedication.At HBM, we go beyond inpatient care by offering an outpatient partial hospitalization program, ensuring continuous support while respecting the rhythm of daily lives. Our commitment to accessible care knows no bounds, as we emphasize availability irrespective of one's ability to pay.Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Hospital for Behavioral Medicine.To learn more about HBM, visit us at: https://www.hospitalforbehavioralmedicine.com/TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.Individuals Maintaining Positive Attitude and Commitment To ServiceAt Hospital for Behavioral Medicine, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.by Jobble

Keywords: Hospital For Behavioral Medicine, Worcester , Patient Accounts Representative, Other , Worcester, Massachusetts

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