Job Description

Account Representative / Self Pay position

The Patient Account Representative – Biller is responsible for billing all accounts to designated insurance companies. The designation may be assigned by alpha split, insurance type, number of account or any other designation deemed necessary to achieve production and/or performance goals of the business office.

Education Background and Experience

Minimum Education:

· High School graduate/GED

Required Licensure / Certifications:

· None required

Required Experience:

· Two years prior Business Office experience

· General knowledge of collection policies

· Medical background with working knowledge of, insurance claim processing, UB-92’s, HCFA 1500’s, and Business Office policies and procedures.

· Prior experience with credit and collection policies and procedures.

· Ability to work on multiple projects during any given day and prioritize new projects as they may arise.

· Is discreet in matters pertaining to patient accounts.

· Must use good communication skills when working with the public or coworkers.

· Experience with computers required.

· Work independently with little supervision.

· Assists whenever necessary with insurance billing and follow-up.

· Willing to perform accurately repetitive tasks with close attention to detail.

· Prior supervisory experience.

Preferred Qualifications:

Professional Requirements

· Adheres to dress code, appearance is neat and clean.

· Completes annual organization-required and/or job-required educational requirements.

· Maintains regulatory requirements

· Wears identification while on duty.

· Attends staff meetings and/or reads all meeting minutes

· Reports to work on time and as scheduled, completes work within designated time.

· Maintains employee/patient confidentiality.

· Represents the organization in a positive and professional manner.

· Participates in the department’s performance improvement activities

· Demonstrates the mission, ethics, and goals of the organization as well as the departmental Scope of Service.

· Communication with patients, guests, family, and staff is courteous, respectful, and helpful.

· Maintains a clean, safe, and accident-free environment.

· Follows Infection Control procedures at all times.

Clinical Personnel Strictly adheres to standard precautions by adhering to the usage of personal protective equipment when handling blood or body fluids.

Non-Clinical Personnel Washes hands and other skin surfaces with soap and water thoroughly and often in an effort to control spreading of germs within the department and facility.

Adheres to isolation procedures at all times as applicable.

· Adheres to the following environmental care standards.

Demonstrates adequate knowledge of safety policies and procedures, the use of MSDS sheets, hazardous material procedures, and safety codes.

Respond appropriately to any Codes while working any shift (Code Blue, Code Gray, Code Silver, Code Amber, Code Red, Code Orange, and Rapid Response Team).

Demonstrates adequate knowledge of security issues, i.e., personal protection, protection of personal and hospital property.

· Participates in quality initiatives as needed.

· Be familiar with and comply with the Mid-Valley Hospital & Clinic Personnel Handbook and Policies.

Be familiar with the collective bargaining agreement (Union Contract) of the FCW3000 and Mid-Valley Hospital.

Essential Job Functions

1. Performs all collection of patient accounts during and after all insurance companies have remitted their portion in accordance with the credit and collection policies of the Hospital.

2. Works with ATB report in a timely fashion, requesting assistance if needed.

3. In a courteous and professional manner makes calls or other contacts on delinquent accounts over 90 days old. Processes pre-collect letters for mailing.

4. Completes a list of Bad Debt, Charity Care and Bankruptcy accounts on a monthly basis for review and approval at the Hospital Board meeting.

5. Makes financial arrangements for payments with current inpatients and all other patients of the hospital who have no medical insurance. This includes pre-admission and time-of-admission counseling.

6. In a polite and helpful manner answers questions from patients about their bills and does necessary research on problem accounts.

7. Processes all Healthcare Assistance Applications in accordance with State and hospital policy.

8. Perform other duties as assigned by the Business Office Manager.

The above job summary and essential job functions are intended to describe the nature and level of work being performed. It is not an exhaustive list of all responsibilities, duties, and skills required of personnel for this job classification.

Physical Demands

How many hours per work day: 8

Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Requirements

GENERAL ORGANIZATIONAL DUTIES AND ACCOUNTABILITIES

1. Greets all patients, visitors, physicians and other staff members in a courteous, respectful and professional manner at all times. Responds to all patients with empathy and positive interpersonal skills at all times.

2. Communicates, cooperates and performs related duties with other members of the department, physicians and other staff in a courteous and efficient manner to achieve overall goals and objectives.

3. Interacts cooperatively with others to contribute and maintain a positive work environment and team building effort.

4. Follows the normal chain of command.

5. Follows established organizational policies and procedures to preserve the patient's right to privacy and confidentiality.

6. Complies with the organizational policies and procedures concerning sick leave.

7. Adheres to organizational dress standards in a professional manner; maintains personal hygiene.

8. Plans and organizes work activity to complete scheduled assignments on time.

9. Come to work on time and when scheduled; rarely has need to leave early for personal reasons.

10. Completes assigned work load in an accurate and reliable manner.

11. Takes appropriate amount of time for meal and rest periods in accordance with hospital policy and procedure.

12. Completes other duties as assigned by their immediate supervisor.

13. Responds to supervision in a professional, courteous manner.

14. Attends required in service education.

15. Actively participates and supports CQI activities.

16. Takes an active part in the safety, disaster and fire protection programs.

17. Follows established infection control guidelines.

18. Exercises prudent use of organizational resources such as lighting, temperature, supplies, etc.

19. Protects the confidentiality of the organizational records and activities.

20. Identifies own educational needs and maintains appropriate skill level through educational opportunities.

21. Attends department meetings as required. Makes suggestions, constructive criticism and personal requests in a non-abrasive manner.

22. Completes employee time and attendance records timely and accurately.

WAGE AND COMPENSATION

Wage range $ 20.81 hr. - $ 30.92 hr. – DOE

Mid-Valley Hospital offers a benefit package. This includes accrued vacation time in the amount of .076923 vacation hours per hour worked. Accrued sick leave at an accrual of .04615 per hour, Life insurance and a profit-sharing plan. We also offer medical, dental and vision insurance plans. Employees can enroll in a 403(b) deferred compensation plan and/or a 457 deferred compensation plan.