Laurel Ridge Treatment Center
Position Summary: The Patient Account Representative interacts and coordinates with medical insurance providers to process claims in a timely and accurate manner. This position ensures patient account resolution and reconciliation of outstanding balances for Laurel Ridge Treatment Center. This position works in a cooperative team environment and serves as a professional liaison between patients, medical support staff, and insurance providers.
Specialized Skills and Knowledge
Ability to calculate expected insurance payments, patients cost based on insurance benefits and/or per-diem rates.
Ability to maintain high level of professional and customer services skills
Ability to effectively communicate verbally and in writing. 6. Ability to model Service Excellence Standards
Knowledge of Managed Care, Commercial and State Agency policies and requirements 7. Ability to make decisions and handle multiple responsibilities and strict deadlines.
Ability to read and comprehend contracts
Qualifications
Employee Recharge Massage Zone
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision, and Prescription Drug Plans
401(K) with company match and discounted stock plan
Education: High School Graduate/GED
Work accounts receivable assignments efficiently and timely while maintaining expected performance goals
Identify problematic accounts with payers by investigating, analyzing, and correcting errors
Conducts timely follow up on outstanding accounts by calling insurance companies or utilizing the payer web portals
Documents detailed notes on every account preparing for the next course of action and or resolution in a timely and efficient manner
Researches denied claims as well as underpayments from third party payers and processes appeals and/or claim(s) reconsiderations to insurance companies in a timely manner
Processes patient payments and refunds.
Works with insurance companies to determine benefits in order to estimate patient’s financial responsibility.
Contacts patients and collects prepayments and outstanding balances.
Interacts with patients when eligibility and benefits cannot be verified through the various payer portals, etc.
Performs other duties as assigned/required by this position.
EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.
Pay Transparency To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.
Seniority level Not Applicable
Employment type Full-time
Job function Health Care Provider
Mental Health Care
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Specialized Skills and Knowledge
Ability to calculate expected insurance payments, patients cost based on insurance benefits and/or per-diem rates.
Ability to maintain high level of professional and customer services skills
Ability to effectively communicate verbally and in writing. 6. Ability to model Service Excellence Standards
Knowledge of Managed Care, Commercial and State Agency policies and requirements 7. Ability to make decisions and handle multiple responsibilities and strict deadlines.
Ability to read and comprehend contracts
Qualifications
Employee Recharge Massage Zone
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision, and Prescription Drug Plans
401(K) with company match and discounted stock plan
Education: High School Graduate/GED
Work accounts receivable assignments efficiently and timely while maintaining expected performance goals
Identify problematic accounts with payers by investigating, analyzing, and correcting errors
Conducts timely follow up on outstanding accounts by calling insurance companies or utilizing the payer web portals
Documents detailed notes on every account preparing for the next course of action and or resolution in a timely and efficient manner
Researches denied claims as well as underpayments from third party payers and processes appeals and/or claim(s) reconsiderations to insurance companies in a timely manner
Processes patient payments and refunds.
Works with insurance companies to determine benefits in order to estimate patient’s financial responsibility.
Contacts patients and collects prepayments and outstanding balances.
Interacts with patients when eligibility and benefits cannot be verified through the various payer portals, etc.
Performs other duties as assigned/required by this position.
EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.
Pay Transparency To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.
Seniority level Not Applicable
Employment type Full-time
Job function Health Care Provider
Mental Health Care
#J-18808-Ljbffr