Patient Account Representative

Description

Red River Hospital is the leading provider of inpatient and outpatient behavioral healthcare in Wichita Falls, TX. Our treatment services & specialized programs address drug and alcohol addiction and co-occurring mental illness.

Red River Hospital has been a leader in behavioral healthcare for over 40 years, providing superior healthcare treatment to the people, communities, and military installations we serve. We are a private inpatient 96 bed acute psychiatric facility dedicated to the treatment of behavioral health and substance abuse services. Located in Wichita Falls, Texas, Red River Hospital provides mental health and substance abuse treatment to the following populations:

• Dedicated military personnel

• Adults

• Seniors

• Children and adolescents (ages 5 through 17)

Our excellent staff is committed to the continuous improvement of behavioral healthcare by providing treatment opportunities that promote individual, family, and community wellness. As a team, we are dedicated to providing high quality, outstanding care and attending to the individual needs of each patient and their family in a caring and compassionate manner.

Serving Northern Texas and Southern Oklahoma

Our location in Wichita Falls allows for convenient access to residents of nearby Texas cities like Burkburnett as well as South Oklahoma cities like Lawton. Call the number below to begin the process of healing.

Mission, Vision & Values

Mission: To bring light into the lives of our patients and their families, to inspire hope through

supportive, individualized care, and to serve our community by setting the standard

for excellence in the treatment of mental health and addiction concerns.

Vision: To be the behavioral healthcare provider and employer of choice.

Values: RESPECT EMPATHY DEDICATION

PURPOSE STATEMENT:

• Call and status outstanding claims with third party payors.

• Review claims issues and make corrections as needed and rebill.

• Utilize claims clearing house to review and correct claims. Resubmit electronically when available.

• Review explanation of benefits to ascertain that claim processed and paid correctly.

• Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.

• Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.

• Prorate patient accounts and monitor that balance due is in the correct financial class.

• Report an overview of the week to the BOD and participate in AR meetings.

• Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.

• Assist financial counselors as needed.

• Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required.

• Three or more years' prior admissions and or collections experience in a hospital setting required.

• Psychiatric experience preferred.

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