Patient Account Representative

Responsible for verifying skilled nursing patient set up in PointClickCare (PCC), billing, and follow-up of skilled nursing Medicare, Managed Care, Medicaid, and coinsurance claims through clearing house, online portals, and via phone.

Also provides related customer service for communities and/or patients.Perform quality assurance checks of patient information in PCC.Bill initial and/or adjusted skilled nursing (SNF) claims for Managed Care, Medicare, Medicare copy claims, Benefit exhaust, no pays, Medicaid, and Coinsurance through Waystar clearing house, fax, or online portals.

Billing SNF Private Pay statements thorough Waystar.Create and bill carve out and high cost drug claims.Performa revenue input, claim creation, billing, and follow-up of immunization charges to Medicare and Manage Care.Maintain familiarity with current and past contracts with Managed Care companies.Follow up on past due revenue for Medicare, Managed Care, Coinsurance, and Medicaid accounts.

Maintain knowledge of past due revenue for monthly calls with communities and Finance Director.Support communities with PCC, Medicare/Insurance, contract, and patient account questions that may arise.Follow up on all SNF credit accounts to determine if refund or escheatment is due or PCC adjustment is needed.Process write off and refunds via Service Now and PCC.Perform month end closing of divested communities in PCC.Track all claims for monthly billing deadlines.Provides support for other team members as needed.This job description represents an overview of the responsibilities for the above referenced position.

It is not intended to represent a comprehensive list of responsibilities.

An associate should perform all duties as assigned by his/her supervisor.Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity~This position will sit in our Brentwood, TN corporate office~Make Lives Better Including Your Own.If you want to work in an environment where you can become your best possible self, join us! Youll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness.Full suite of health insurance, life insurance and retirement plans are available and vary by employment status.

Additional benefits offered include, but are not limited to:Tuition ReimbursementPet InsuranceAdoption Reimbursement BenefitsVariety of Associate DiscountsVeterans, transitioning active duty military personnel, and military spouses are encouraged to apply.To support our associates in their journey to become a U.S.

citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.