Senior Patient Account Representative, Inpatient, Full-time

Responsible for all duties involved with the follow-up and prompt collections of Inpatient Government, Managed Care, Commercial and Worker’s Compensation account balances.

All outstanding claims must be followed up and resolved in a timely manner.

Review reports for claim denials and rejections.

Correct and resubmit claims as needed.

Submit requested information, claim reconsiderations and claim appeals within payer timely filing guidelines.

Monitor accounts for recoupment of payments.

Respond to patient questions, problems, or complaints in a courteous and professional manner. 

Responsibilities: 


* Meet or exceed departmental KPI’s


* Experience with IRF billing regulations


* Works all denials by using the designated systems on a timely basis, report problems & trends 


* Perform follow-up functions for delayed payments.

This includes but is not limited to telephone inquiries or formal appeals on incorrectly paid claims.


* Document all accounts clearly and concisely of all activity and resolve all accounts through final collections.


* Initiate appropriate collection letters on patient liability.


* Provide training for new employees, maintain/update training materials. 


* Key person to perform all system testing and validation.


* Provide support to Revenue Cycle Department by communicating with patients on billing and follow-up concerns.


* Request medical record documentation as required to resolve the account.


* Perform daily account follow-up using the worklist and task list in Patient Account system.


* Submit claims electronically.


* Verify payment schedules for correct allowances.


* Accumulates, prepares, and analyzes data necessary for contract compliance of HMO and PPO and other contracted payers.


* Correct bad addresses, as necessary.


* Assisting Patient Accounts Representatives with any question or concerns.


* Keeping track of the Accounts Receivable and focusing on targeted areas.


* Strive for optimal collections pertaining to account receivables less than 90 days old.


* Assist Patient Account Representatives in verifying and editing data on claim for correct submission to insurance carriers when needed.


* Work with Patient Account Supervisor/Manager on notifying them of the different insurance carrier changes concerning billing and collections procedures.


* Ensure that the errors on account follow-up are kept at a minimum and report the percentage to the next level manager.


* Handle complicated patient account issues.


* Adheres to all Brooks Rehabilitation policies and procedures

Qualifications: 


* High School graduate 


* Five+ years of job-related experience in hospital Business Office or CBO.


* Experience with Microsoft Office to include proficiency with Excel spreadsheets 


* strategic and analytical skills. 


* Knowledge of CPT and ICD-10 coding procedures. 


* Working Experien...