Patient Account Representative in Cincinnati, OH at Acadia Healthcare

Date Posted: 4/3/2021

Job Snapshot

Job Description

Overview

Exciting opportunity to become a member of a new behavioral hospital with the nation’s leading behavioral healthcare network. Our facility is in pursuit of an exceptional professional individual with extensive experience in medical billing. By joining our team as a Patient Account Representative, you will have the chance to assist in our efforts to help the individuals we care for to achieve successful long-term health. Our facility makes a positive impact on the lives of countless people every day.

ESSENTIAL FUNCTIONS:  

  • Verify benefits, review with responsible party the patient financial responsibility.
  • Initial claim submission, review claims issues and make corrections as needed and resubmit utilizing clearing house. Follow up on denials.
  • 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. Maintaining an average of 30-40 accounts worked per day minimum.
  • Call and status outstanding claims with third party payers.
  • Gather and interpret data from system and understands appropriate course of action to take, initiates time-sensitive and strategic steps resulting in payment.
  • Prorate patient accounts and monitor and assure the balance due is in the correct financial class.
  • Weekly review of billing activities with BOD and participate in AR meetings.
  • Assist financial counselors as needed.
  • Alert Financial Counselors and Business Office Director of all benefit eligibility that suggest or challenge reimbursement.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

  • High school diploma or equivalent required. 
  • Thorough understanding of Medicare, Medicaid and Commercial and third party insurances.
  • Experience with submitting claims and related submission software.
  • Familiar with behavioral health terminology, ICD-10 and CPT coding as related to mental health and medical insurance.
  • Three or more years’ prior admissions and or collections experience in a hospital setting required.
  • Computer savvy, detail oriented, excellent follow up and communication skills.
  • Psychiatric and or behavioral health experience preferred.

BENEFITS:

  • Annual accrual of vacation, sick, and extended sick time in accordance with Glenwood Behavioral Health Hospital accrual policies
  • Major Group Health Insurance (Medical, Dental, Vision)
  • 401K  and other benefits in accordance with Glenwood Behavioral Health benefit plans
  • Potential bonus with successful targeted goal oriented collection activity.