Mon Health Hiring For Patient Account Representative at Grafton, WV, United States Full Time

Job Description

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Grafton City Hospital is a rural hospital with vision, diversity, stability, and a future. A strong contributor to the county’s economic status as it is the one of the largest employers in Taylor County at GCH, we have one simple mission: We are committed to the promotion of wellness and to the provision of comprehensive healthcare to our community with respect to all people. Grafton is located in the heart of northern West Virginia. Nestled inside of Taylor County, Grafton, the county seat, is centrally located less 30 miles from Morgantown, Bridgeport and Fairmont, WV. Our 100 plus dedicated, and caring employees are encouraged to employ their talents and abilities to solve any challenge faced by our patients and the surrounding community.
While many hospitals, especially rural hospitals, are closing because of ever declining reimbursement for the services they provide, Grafton City Hospital continues get stronger by operating more efficiently and providing excellent healthcare to our community.
Job Summary:

• Reviews and verifies patient account information and charges to ensure accuracy and completeness. Submits bill to appropriate payor within one (1) day of receipt of billing documents.
• Monitors ad follows outstanding accounts for timely payments specific to payor type, i.e., Medicare – 30 days; Medicaid – 60 days, Workers’ Compensation – 60 days; private insurance carriers – 45 days; and private pay accounts – 30 days. Receives and responds to billing related inquiries, and will be responsible for billing reports specific to assigned payor or type.
• Anticipates and acts to maintain a safe environment for the patient and others.
• Maintains a courteous and professional manner in dealing with patients, visitors, medical staff, fellow employees and students.
• Answers the telephone promptly and courteously, responding accurately billing inquiries. Directs inquiries or concerns that cannot be handles by the Patient Account Representative to the Business Office Department Manager.
• Maintains congenial liaison with other hospital departments and personnel for the purpose of obtaining and furnishing appropriate information related to the Business Office Department.
• Deal effectively with expressions of anger and hostility from others.
• Complies with all reimbursement billing procedures for state and federal payers as well as third party and private insurance carriers.
• Demonstrates understanding of department and Hospital Quality Assessment/Improvement programs
• Demonstrates regard for the dignity, respect, and safety of all patients, family members and hospital personnel. Anticipates and acts to maintain a safe environment.
• Demonstrated understanding of and adheres to the Hospital’s Infection Control policies.
• Promotes and contributes positively by volunteering to assist co-workers, contributing ideas and problem-solving with co-workers.
• Participates in planning and implementing change and maintaining/improving productivity through attendance and participation in staff meetings, committees, projects and interactions with the Department manager.
• Exercises independent thought and action with self-reliance
• In relationship to area, knows location and correct use of equipment.
• Demonstrates flexibility in response to unexpected changes in work volume.
• Reviews all assigned patient accounts on the date received for accuracy and completeness.
• Identifies and resolves any patient charge or other account discrepancy within one day of receiving the file.
• Identities portion of charges to be billed to patient’s insurance company, Medicare or other third-part carries and those charged to patient’s directly withing one day of receiving the file.
• Maintains patient information and always updates information in the patient account management system.
• Monitors outstanding patient accounts on a daily basis and refers overdue problem accounts to collections for further action ir established a payment contract with the responsible person(s) according to patient accounting policies.
• Reviews outstanding insurance accounts, according to department procedures, to identify past due for follow up with responsible parties.
• Investigates over-payments and takes appropriate action to resolve variance withing thirty (30) days of occurrence.
• Discusses complaints or problems through appropriate communication channels. Sets appropriate priorities.
• Organizes work for smooth, efficient productivity.
• Exhibits dependability as evidenced by reliable attendance in accordance to hospital policy.
• Attends department staff meetings as scheduled. Participates in mandatory in services initiatives.
• Follows all hospital policies, assuming responsibility for his/er/their own behavior.

Educational Requirements and Certifications

• High School graduate or equivalent with concentration in business, clinical instruction

Experience

• Minimum 1-2 years experience in medical billing environment, in an automated billing environment.
• Ability to work and deal effectively with others.
• Demonstrated experience in developing and maintaining interpersonal relationships with co-workers,
• Good working knowledge of local, state and federal regulations pertaining to hospital billing and/or collections.
• Demonstrated strong time management abilities,

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Location: Grafton City Hospital · Patient Accounts
Schedule: Full Time, Days