Overview
Halifax Health is seeking a Patient Accounting Representative for our Patient Business and Financial Services Department.
Summary
Will assist and lead the Patient Accounting Representative team under guidance of the supervisor. Assist in escalated issues with patients, guarantors and third parties on accounts to resolve any questions or concerns towards satisfying account balances with patient/third party liability. Assess all options to patient’s account including payments, contracted payment plans, and financial assistance. Help create worklists and reports to identify account resolution for Patient Accounting Rep team. Help team identify any charity or financial assistance needs; all documentation and coordination with patients will be worked until determination of approval. Document all patient/ third party activity and communication in host systems.
Job Qualifications
- Minimum high school graduate or equivalent required. Associates or Bachelor’s degree from accredited institution is preferred.
- Minimum of two years experience in healthcare billing and/or business office setting, preferably in hospital billing.
- Must be able to communicate with patients effectively while maintaining customer service expectations.
- Preferred experience in Meditech and/or Athena EMR systems.
- General PC knowledge in business setting is required.
- Must have good oral and written communication skills.
Job Duties and Responsibilities
- Review patient account for accuracy of insurance coverage information.
- Evaluate Self Pay Liability on patient and guarantor balances.
- Work with patients in need of financial assistance while reviewing all required financial information from the patient/guarantor.
- Assist in monitoring AR levels of the department and align collection attempts with policy.
- Work with 3rd party affiliates to review accounts and obtain account resolution.
- Make all possible attempts to assist patient with resolving account balance timely.
- Procure patient letters when other form of communication is not possible.
- Collect payment on patient balances processing them electronically.
- Establish and monitor contracted payment arrangements with patients.
- Document all patient contact and activity with efficiency and accuracy in billing systems.
- Update billing systems with all demographic and/or insurance revisions timely.
- Review patient Explanation of Benefits to determine correct patient responsibility.
- Understand non-commercial insurance plan processes with payers like Medicaid, Medicare, Auto, Workers Comp, etc.
- Comply with HIPAA regulations to ensure the confidentially and security of protected health information (PHI) when it is received, handled or shared.
- Communicate in a respectful, positive way with fellow colleagues.
- Demonstrate compliance with the Statement of Organizational Ethics and all policies related to the organization's Corporate Compliance Program as evidenced by attendance at applicable educational programs;
- consistently carrying out job responsibilities ethically and professionally;
- exhibiting ethical and professional workplace behavior and decision-making;
- reporting any infractions using the appropriate chain of command and without fear of retribution.
- Perform additional duties as assigned by management.
About Us
Recognized as one of the 50 Top Cardiovascular Hospitals™ in the United States by IBM Watson Health™, Halifax Health serves Volusia and Flagler counties, providing a continuum of health care services through a network of organizations including a tertiary hospital, two community hospitals, urgent care clinics, psychiatric services, a cancer treatment center with five outreach locations, the area’s largest hospice, a center for inpatient rehabilitation, outpatient rehabilitation clinics, primary care walk-in clinics, a clinic specializing in women’s health, a pediatric care community clinic, five pediatric medical practices, a home health care agency and an exclusive provider organization. Halifax Health offers the area’s only Level II Trauma Center, Thrombectomy-Capable Stroke Center (TSC), Center for Transplant Services, Pediatric Intensive Care Unit, Child and Adolescent Behavioral Services, complete Neurosurgical Services, OB Emergency Department and Level III Neonatal Intensive Care Unit that cares for babies born earlier than 28 weeks. For more information, visit halifaxhealth.org.