Patient Account Representative - PRN Days - Hospital Campus

Summary

Located in Franklin, Tennessee, Williamson Health is one of the South's most exceptional health care systems with a 203 bed hospital (Williamson Medical Center), over 40 providers at our Williamson Health Medical Group locations, the Bone & Joint Institute and the Monroe Carell Junior Children's Hospital Vanderbilt at Williamson Medical Center. Williamson Health offers comprehensive in-patient and out-patient services. We have more than 825 providers representing over 70 medical specialties and sub-specialties.

Williamson Health is a system where your talents will be valued and your skillset expanded. We are rooted in our promise to world-class, compassionate care for the residents of Williamson County and surrounding communities, taking exceptional pride in serving our community. We're committed to empowering our employees to work in innovative ways and reserve time and space for curiosity, laughter and creativity. We value and support the diversity and cultural differences among one another and are committed to upholding an inclusive environment that appreciates the uniqueness of all individuals. Our values are at the heart of everything we do: respect for every individual, the health and total well-being of all people, human compassion and integrity. These shape who we are as an organization and are essential for delivering the highest level of culturally competent care and treatment of every patient, family member, visitor, physician and employee.

Williamson Health is pleased to offer a comprehensive benefits program, that offers you choice and flexibility, so you can take charge of your physical, financial, and emotional well-being.
o Medical, Dental, Vision
o PTO
o Retirement Matching
o Tuition reimbursement
o Discount programs
o FSA (Flexible Spending Accounts)
o Identity Theft Protection
o Legal Aid

Williamson Health is an equal-opportunity employer and a drug-free workplace.

POSITION SUMMARY

This position primarily involves billing and follow up on accounts for services rendered at Williamson Health. This is to maximize the full payment potential of each claim from all insurance carriers in a timely and accurate manner. This Patient Account Rep serves as a liaison between patient and insurance carriers. The PAR works with all departments in the hospital as well as physician's offices to ensure the proper charges, adjustments and codes are processed and that all edit corrections are made prior to the claim being billed to the insurance carriers. This position is responsible for daily Billing reports such as the Late Charge report, 3 day Prior report, Same Day Service report, correct bills, etc. This PAR also serves as the fill in for the EMS Coordinator when needed.

POSITION REQUIREMENTS

Formal Education / Training:
Must be a high school graduate or equivalent, have hospital or physician billing experience, have PC and calculator experience, and have good communication skills to discuss account financials with insurance carriers and patients

Workplace Experience:
Prior experience in a hospital setting or related area is required.

Equipment and Skills Training:
Meditech System, SSI Electronic Billing System, SSI Electronic System for RA Print, Valco System, Passport System, Blue Cross DDE System, Excel, Word, PC, Printers, Fax, Copier

Physical Environment:
Business Office

Physical Effort:
Requires sitting for prolonged periods of time, viewing the computer screen and using repetitive motions, and must have a clear, understandable telephone voice

PERFORMANCE STANDARDS

1. Utilizes SSI Electronic software (when necessary) to accurately process all payer accounts assigned by system daily
2. Processes all payer paper claims when necessary.
3. Compares SSI electronic claim against Meditech claim when dealing with all carrier questions regarding claim submitted and works on resolving discrepancies to prevent denial.
4. Utilizes Passport as well as various payer websites to access on-line information
5. Analyzes EOBs and remittances for secondary insurance filing and to determine appropriate patient liability or secondary payer amount
6. Utilizes Outlook to communicate denials with the various departments and ensures timely response/resolution to denials.
7. Completes review of assigned accounts utilizing ATB (current account balance) reports and/or Collector Desktop list as needed for account processing in a time frame that is consistent with peers.
8. Converses with all insurance payers and documents all discussions in Meditech regarding unpaid claims
9. Answers patient calls regarding billing and account balances
10. Re-queues claim forms and itemized bills for all payers as needed after audit corrections have been completed
11. Handles and prioritizes multiple tasks.
12. Completes any other job duties assigned by the department Director or Supervisor(s)