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Patient Accounts Representative Job at Down East Community Hospital

Down East Community Hospital Calais, ME 04619

To manager outstanding Accounts Receivable (AR) by collecting money owed and making payment arrangements as applicable. To schedule hospital outpatients following processes defined to ensure payment for services.

Requirements:

  • High School graduate, college degree, or 3 years appropriate work experience that would indicate a high level of communication skills and organizational management ability.
  • Familiarity with statutes and regulations regarding the collection of accounts.
  • Information technology experience is helpful.
  • Ability to work independently.

ESSENTIAL JOB FUNCTIONS:

  • Administer Point of Service Collections as defined by policy
  • Administers hospital no surprise billing policy requirements including patient estimates and scheduling as requested.
  • Trained and utilized as back-up or support for hospital scheduler.
  • Assists with the processing of free care and reduced care applications for the approval of the PFS Director/CFO.
  • Collects monies owed from patients or obtains appropriate insurance information to ensure timely recovery of the outstanding accounts receivable.
  • Contacts all private pay patients within 10 days of discharge.
  • Enters appropriate insurance information if obtained and refers account to PFS department for billing.
  • Responsible for arranging payment of all moneys due for services rendered under the direction of the Patient Access Supervisor, including setting up payment arrangements (in accordance with established policies) and qualifying patients for federal, state, or local benefits.
  • Researches, identifies and communicates any special circumstances affecting delayed payment of accounts to PFS follow-up staff for correction.
  • Maintains self-pay account aging with an emphasis on resolution of accounts less than 90 days old.
  • Responsible for identification and calculation of collectible amounts as identified by policy
  • Identifies delinquent accounts, including accounts with payment arrangements, and makes recommendations for their disposition (i.e., referral to collection agencies, write-off, etc.)
  • Continues to stay informed of any statutes and regulations that could affect collection of receivables (i.e. collection regulations, etc.)
  • Maintains a list of appropriate contacts and contact information.
  • Performs other duties as assigned and overtime as requested and/or required.

Location: Calais Community Hospital
Schedule: Full Time, Varies



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