Patient Representative - Business Office (24104)

Primary Scheduled Hours: 80 hours per pay period

• Day shift

Job Summary:

Responsible for medical billing functions and submission of claims to third-party payers for payment. Reviews claims to verify accuracy and completeness of charges. Researches denied or incomplete bills. Submits secondary claims, makes claim adjustments, and corrects claims as needed. Ability to submit letters of appeal with proper documentation to insurance carriers. Works closely with district departments; providing updates regarding codes, benefits limits or changes for patients' health insurance, including state and federal programs. Interacts with patients; understanding medical benefits, processing patient payments, and resolves minor billing complaints.

Who are we?

• Newport Hospital and Health Services is located in Newport, WA on the Washington-Idaho border. We are an independent rural healthcare provider.

• Newport Hospital and Health Services consists of:

• 24 bed Rural Community Hospital

• Trauma Level IV

• 15 providers Rural Health Clinic

• 72 bed, high level care, Advanced Assisted Living Facility

• 42 apartment; low-moderate care level Assisted Living Facility

• In 2021 we celebrated our 100th year in operation servicing the local members of Newport, WA and the surrounding communities.

Education Background and Experience

Minimum Education:

High school graduate or equivalent.

Required Licensure / Certifications:

Required Experience:

Preferred Qualifications:

One (1) or more years' experience in medical billing

EPIC experience

Professional Requirements

• Maintain regulatory requirements.

• Report to work on time and as scheduled; complete work within designated timelines.

• Demonstrates the ability to adhere to the mission, ethics and goals of the District.

• Demonstrates the ability to communicate with patients, guests and staff in a courteous, respectful and helpful manner.

Essential Job Functions

• Interacts daily with patients/families regarding billing problems and insurance information.

• Polished phone demeanor, tone, and etiquette are required.

• Investigate and follow up on questions/issues to resolve concerns in an accurate and timely manner, communicating information to the appropriate staff as needed.

• Demonstrates the ability to assist patients and insurance companies with respect.

• Compiles hospital claims, completes appropriate forms, submits claims to proper agencies/insurance companies; electronically and/or paper as needed.

• Contacts patients/insurance companies to collect unpaid insurance claims.

• Documents all correspondence and conversations with insurance companies, governmental agencies, third party payers and patients on patient 's account.

• Stays informed about changes in Medicare and Medicaid.

• Demonstrates the ability to be flexible, organized and function well in stressful situations.

• Interacts with patients/families in a professional manner. Treats patients/families with respect; ensures confidentiality of patient records.

• Maintains a good working relationship within the department and with other departments.

• Maintains a professional working relationship with insurance companies.

Compensation/How We Care For You:

Successful candidates typically begin between the beginning and midpoint of the compensation range ($19.04- $22.43./hour) dependent on qualifications/experience and receive compensation increment increases annually.

Qualified employees of Newport Hospital & Health Services are offered the following benefits:

• We offer competitive wages.

• Comprehensive benefit package including:

• Medical

• Dental

• Vision

• Retirement with a 6% dollar for dollar employer match

• Long Term Disability

• AFLAC

• Flexible Spending Account

• We provide a complimentary gym membership

• We offer various tuition assistance programs

• We give back to our community snack bags for local schools and assist with Meals on Wheels for our elderly.

• We work where we play

• Three major ski resorts are located within one hour of Newport, numerous lakes, rivers, and hiking trails. Truly an abundance of outdoor recreation.

• https://pocedc.org/

• https://newporthospitalandhealth.org/gallery/

• All employees are given the opportunity to learn and advance within the organization.

• We offer strong family-like support system

• Collaboration and team building is supported and developed using teaching and practice of the 7 Habits of Highly Effective People.

Newport Hospital & Health Services (NHHS)is committed to a diverse and inclusive workplace. NHHS is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

NHHS employs only U.S. citizens and lawfully authorized non-U.S. citizens. All new employees must show employment eligibility verification as required by the U.S. Citizenship and Immigration Services.

NHHS is committed to providing access and reasonable accommodation in its services, programs, activities, education and employment for individuals with disabilities. To request disability accommodation in the application process, contact Human Resources at 509-447-6320.