Patient Account Rep

Job Details

Job Location: Cardiovascular Surgical Clinic - Fayetteville, AR

Position Type: Full Time

Education Level: High School Diploma or GED

Salary Range: Undisclosed

Job Shift: Day

Job Category: Administrative/Clerical

Description

Organization Overview, Mission, Vision and Values

Washington Regional Medical System (the "System") is our region's only locally governed, community-owned, not-for-profit healthcare system. The System includes a 425-bed acute care hospital known as Washington Regional Medical Center (the "Hospital") which is located in Fayetteville, Arkansas. The Hospital is supported by the System- including primary, specialty and urgent care operations - that span across Northwest Arkansas into Harrison and Eureka Springs. Being heavily supported and invested in our community makes Washington Regional a unique employer, encouraging staff to give back to the community in which we live and work … and give back to each other.

Washington Regional Mission, Vision and Values prove to be a firm foundation and inspiration from which we fulfill our purpose.

Mission: Washington Regional is committed to improving the health of people in communities we serve through compassionate, high quality care, prevention and wellness education.

Vision: To be the leading healthcare system in Northwest Arkansas --- the best place to receive care and the best place to give care.

Values: To treat others - patients and their families, visitors, physicians, and each other - as we would want to be treated.

Position Summary

The role of the Patient Account Representative reports to the Assistant Office Manager and Office Manager. This position is responsible for reviewing patient accounts to ensure proper billing procedures are maintained.

Essential Position Responsibilities

• Prepare accounts for billing including collecting necessary demographic information and ensure accuracy in data entry

• Contact insurance companies to verify eligibility and benefits, medical necessity, and obtain pre-authorization, as appropriate

• Establish payment arrangements with guarantor and collect co-payments and/or past due balances

• Prepare and provide self-pay quotes, as appropriate

• Receive and verify explanation of benefits received from insurance companies and post payments to accounts accordingly

• Review denied claims and complete appeal process

• Prepare reports requested by management as needed

• Assist patient with determining eligibility for Medicaid

• Scan and maintain medical records

• Assist with processing and sorting incoming and outgoing correspondence

Qualifications

• Education: High School Diploma or GED
• Licensure and Certifications: N/A
• Experience: Previous experience with medical terminology and insurance verification processes, preferred.

Work Environment: This position will spend 60% of time sitting while performing work in a standard office environment and 40% of time standing and/or walking while pushing, pulling, lifting, and/or carrying up to 50 lbs.

Qualifications