Patient Account Representative

KAHUKU MEDICAL CENTER

Job Title: Patient Account Representative

Department: Business Office

Reports To: Patient Account Supervisor

Status: Full-Time

Date: ASAP

Job Summary:

Prepares and arranges patients for discharge from the hospital. Ensures patient information is complete, posted timely and accurately to the system. Receives, follows up and reprocesses insurance companies turn around documents timely and efficiently, maintains vigilance over self-pay patients’ balances, Medicaid or Medicare rejects, workman’s compensation, no fault insurance, and other specialized handling. Actively performs credit and collection activities to include resolving large balances, incorrect balances, unapplied payments, refunds, or other problems that affect a patient’s account. Prepares, forwards and monitors accounts sent to the legal and outside collection agencies.

Duties and Responsibilities:

Performs hospital admission functions to include greeting and receiving patients, obtaining demographic and financial information, registering patients in hospital systems, and contacting authorities or families when appropriate.

• Provides initial financial counseling to the patient and/or guarantor and determines the classification of the patient for financial purposes.

• Directs patients to appropriate financial assistance when required.

• Handles pre-admission and discharges, completes appropriate forms, collects appropriate patient payment for services rendered and makes appropriate entries into the computer system.

• Promptly and accurately enters charges and payments into the computer system and collects patient payments.

• Performs all billing and collection efforts for self-pay patients and self-pay portions after insurance.

• Follows up on accounts until paid in full or turned over to collections.

• Interviews, assists, and counsels patients who contact the hospital for assistance in resolving large account balances.

• Provides in-depth financial counseling to supplement the initial counseling to include informing patients of hospital policies, arranging suitable financial coverage for self-pay patients.

• Reviews accounts receivable reports to determine causes of inappropriate balances reflected by these reports. Take appropriate action to reduce or minimize these types of balances to include recommended changes.