Patient Account Biller/Collector

Patient Account Representative Opportunity

Riveredge Hospital is a leading psychiatric hospital dedicated to providing quality behavioral health services and trauma-informed care to children, adolescents and adults. The hospital features 210-beds and offers inpatient, partial hospitalization, intensive outpatient and community residential programs across eight units.  Riveredge is a Joint Commission approved and repeated Top Performer and a state licensed facility recognzied for quality.  We are dedicated to our teamwork approach and provide compassionate and therapeutic environment, as well as offering a continuum of specialty programs through our inpatient, partial, outpatient and residential services. We invite you to be part of our award- winning, multidisciplinary team.

More online at: https://riveredgehospital.com/

The Patient Account Representative is responsible for maintaining collection files and monitoring for accuracy, the timely and accurate follow up of all assigned accounts, submitting reports to the CFO/Business Officer Director, and performing various clerical duties as assigned.

Essential Functions and Responsibilities:

• Manage documents on all open account including contacts made to or by 3rd party payer, patients, families or employees.
• Follow-up by phone and in writing
• Maintain appropriate reminder system to ensure prompt follow-up
• Advise Business Office Director of problem accounts at time of encounter
• Note payment discrepancies and resolve immediately.
• Conduct cyclical audits of all collections activities and identifies non-compliance
• Evaluates collectability and processes refunds as necessary
• Completes Daily Census Report
• Prepares Bad Debt Write-offs and other adjustments
• Reports any non-covered or inadequately covered patients
• Works with Utilization Management to maximize payables
• Performs 3rd party and self-pay follow-up as required
• Performs other duties as assigned.

Education/Job Experience/Certification:

• HS diploma/GED required; Associates Degree preferred
• At least 2 years’ experience in a medical facility business office or UM department with collections responsibilities preferred.
• In depth knowledge of funding sources and government reimbursement protocols a plus.