Monitors the status of outstanding accounts within assigned unit or duty. Prepares and maintains billing, collection, and reimbursement records. All team members of Southeast Georgia Health system will promote a culture of safety, follow established policies, and adhere to all state and federal regulatory requirements, joint commission requirements and national patient safety standards.
Essential Responsibilities:
- Works assigned unit or duty as defined in policies and procedures set forth in the department which includes: working unit and/or reports in a timely and effective manner while maintaining the integrity of patient accounts. Reports any problem areas to supervisor for instruction.
- Contacts third party payer organizations or patients as necessary to facilitate timely payments or other required transactions that could result in a completed account cycle.
- Assists others when needed in order to maintain integrity of accounts receivable as a whole.
- Ensures all federal guidelines are followed as set forth by government payers and that patient confidentiality is maintained. Actively participates in compliance with the Joint Commission standards both departmentally and organization wide.
- Receives and answers inquiries from patients, insurance companies, and other parties regarding charges and/or billing discrepancies in a timely, effective, and professional manner.
- Keeps abreast of managed care and contractual arrangements in order to better comprehend the processing of accounts by third party payers.
Minimum Qualifications:
Education
High school graduate or equivalent
Experience
Two years clerical in a business office or similar environment preferred
Licensure
Certified Patient Accounts Representative (CPAR) certification preferred
Knowledge/Skills/Abilities
Ability to operate office equipment including computer applications