Erlanger · 2 days ago
Collection Follow Up-Patient Account Tech, Full-Time
Erlanger is a healthcare provider seeking a Patient Account Technician/Collections and follow-up. The role involves managing assigned accounts, ensuring timely payments, and resolving any issues related to patient accounts efficiently.
Hospital & Health Care
Responsibilities
Work accounts assigned
Determine if accounts have been received by insurance companies
Check if accounts are paid according to the contract or correct DRG
Verify if adjustments (contractual) are correct or if adjustments were taken
Determine if accounts need rebilling or if an adjustment is needed
Establish if a refund is due to the insurance carrier or patient
Determine if secondary insurance is billed and move the money to the appropriate insurance bucket
Assess if the claim is denied whether or not an appeal is appropriate or if a write off is warranted
Bring all processing problems to the attention of the Payer Coordinator, Supervisors or Managers
Assure that all claims assigned are paid according to the contract or obtain payment from the patient
Review patient liability and try to contact patient for payment arrangements or review for charity according to the PFS guideline
Gather needed information for retroactive accounts to send in for approval by the MCO
Follow up on high dollar list of accounts weekly and return to the coordinator & supervisor within a specific time frame
Meet productivity requirements set by Supervisor or Managers
Perform other duties as assigned
Qualification
Required
High School graduate or GED
Must be able to communicate effectively to resolve collection of patient accounts quickly and accurately
Detail oriented, courteous and professional mannerism
None
Preferred
One to three years industry or other administrative experience preferable in a hospital setting
Collections Patient Account Representative Certification (CPAR)
Company
Erlanger
Erlanger, named among "America's Best Hospitals" by U.S.