Patient Account Representative I, University Skilled Nursing, Full-time

The Patient Account Representative in our Skilled Nursing Facility is a vital part of Brooks team.

The Patient Account Representative is responsible for all duties involved with the follow-up and prompt collections of Government, Managed Care, Commercial, Medicaid and Worker’s Compensation account balances.

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

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

Promote an environment that provides optimal efficiencies and superior quality of the business office. 

Responsibilities:


* Healthcare billing and collection experience with nursing home receivables which include Medicaid, Medicare Part A & B, Managed Care, Auto and Workers Compensation payers. 


* Daily census management 


* Daily cash posting includes electronic remittances, ACH and credit cards.


* Knowledge of electronic claim submission, corrections, and denial management processing within claims clearinghouse.

 


* 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 balances as required. 


* Generate, review, and process monthly statements 


* Florida Medicaid application requirements and guidelines for long term care.


* Initiate annual reviews to maintain Medicaid eligibility with Department of Children and Families. 


* Resident Trust Fund Management  


* Accounts payable invoices 


* Refund requests for private pay and insurance accounts.

 


* Ancillary charge entry  


* Meet or exceed departmental KPI’s


* Request medical record documentation as required on accounts. 


* Perform daily account follow-up and collections on accounts 


* Consolidated Billing guidelines


* Report on insurance carrier changes concerning billing and collections procedures to the Director.


* Adheres to all Brooks Rehabilitation policies and procedures.


* Interact professionally with residents, families, staff, visitors, and external agencies under all circumstances. 

Qualifications: 


* High School Diploma Required


* 1+ years of job-related experience in Skilled Nursing Business Office or CBO.


* Medical Billing and Collections experience required 


* Knowledge of CPT and ICD-10 coding procedures. 


* Working Experience with medical terminology. 


* Experience with Microsoft Office and Excel spreadsheets


* Point Click Care billing software desired


* Strong analytical skills with ability to identify and find effective solutions.

 


* Detail oriented


* Excellent communication skills, both written and oral


* Working knowledge of patient accounting systems


* Self-st...