Patient Accounts Representative II

Patient Accounts Representative II 

Employment type: Full-Time  

Department: Patient Accounting  

Location: Business Office   

Reedsport, OR 97467 

JOB SUMMARY: 

Under the general direction and supervision of the Business Office Manager, and in accordance with established departmental and Health System policies, procedures, and standards, performs duties as assigned including, but not limited to, the following: 

ESSENTIAL DUTIES: 

1. Post all payments and contractual adjustments received from insurance carriers. 

1. Drops secondary claim for billing staff if required and initiates self-pay letter. 

1. Verifies insurance payments to ensure correct amounts are posted. Posts contractual allowances for all insurance payers, applies employee discount and prompt pay discounts when applicable.  Corrects posting errors when necessary. 

1. Prepare refund requests for financial counselor and upon the financial counselor’s reconciliation of the account.  (Upon the financial counselor’s reconciliation of account prepare self-pay refund requests). 

1. Verify posting and adjustments for automatic remittance posting, to include HMSA, Medicaid, and Medicare. 

1. Maintain daily deposit receipt log(s) to identify missing receipts for cash, checks, and credit cards.  Notify Manager immediately if there are any missing receipts or discrepancies.  

1. Maintain daily deposit receipt log(s) to identify if there are no cash payments received that day.  

1. Research and/or call insurance for missing remit and/or payment.   

1. Maintains Health System core values of quality, caring, ownership, pride, teamwork, respect, and responsibility. 

1. Maintain file to reconcile check(s) with no remit(s), or remit(s) with no payment(s). 

1. Maintains file of accounts with offset insurance balances (insurance payment take backs).  Complete reconciliation of accounts.   

1. Notify third parting collection department(s) of collection payments made to Lower Umpqua Hospital District (LUHD) directly the same day of receipt. 

1. Responsible for making bank deposit daily.   

1. Performs other duties as assigned by the Business Office Manager. 

QUALIFICATION REQUIREMENTS: 

Education and License: 

High School Diploma or equivalent, required.  

Certifications: 

Experience: 

Clerical work, preferred.  

Billing and/or collections work highly desirable.  

Experience working with computers preferred; or any combination of education and experience, which would provide the necessary knowledge, skills and abilities to meet the minimum qualifications to perform the essential functions of this position. 

Additional Qualifications: 

1. Basic typing skills with accuracy and 10-key by touch 

1. Must be detailed oriented and accurate in working with figures.  

1. Able to clearly and effectively communicate both verbally and writing.  

1. Requires flexibility, tact, and sensitivity in dealing with the public and other personnel, and able to maintain confidentiality of patient records. 

1. Must be able to work as an effective member of the healthcare team, and to establish and maintain cooperative working relationships with others, utilizing tact and diplomacy.  

1. Requires verbal communication with insurance carriers, patients, physicians, co-workers, and personnel from other departments in person and over the phone.  

1. Requires reading billing requirements and regulations, medical reports, and other written materials.  

WORK ENVIRONMENT: 

Works indoors in an air-conditioned environment. 

PHYSICAL DEMANDS: 

Frequent use of computers and phone, and other standard office machines.  Must be able to stand, sit, stoop, twist, kneel, reach, push, pull using proper body mechanics and move/lift varying amounts of weight to a maximum of 50 lbs.   

This is a Full-Time position that is eligible for benefits.