Patient Account Representative

Patient Account Representative

Seven Hills Hospital is a growing, private, 134-bed psychiatric hospital that is dedicated to providing high-quality care for adults, geriatrics, and adolescents (ages 11-17) who are suffering from behavioral health and chemical dependency issues. Our patients recover at our new, state-of-the art medical facility in the Seven Hills area of Henderson, Nevada. Henderson is one of the fastest growing cities in the US and is located just 7 miles from the famed Las Vegas Strip and a couple of miles from beautiful Lake Mead.

Seven Hills Hospital is part of Acadia Healthcare system, a provider of behavioral health services throughout the US.

Join the team of highly dedicated professionals. We are presently looking for a Full Time Patient Account Representative who will report to the Business Office Director and be responsible for gathering and transmitting insurance/billing information to Admissions Department and Business Office; counseling with patients regarding their financial rights and obligations, making payment arrangements when necessary; prepares administrative and charity adjustments.  May require to work some weekends.

Key Functions:

• Call and status outstanding claims with third-party payors.
• Review claims issues and make corrections as needed and rebill.
• Utilize claims clearinghouse to review and correct claims. Resubmit electronically when available.
• Review the explanation of benefits to ascertain that claim processed and paid correctly.
• Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
• Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.
• Prorate patient accounts and monitor that balance due is in the correct financial class.
• Report an overview of the week to the BOD and participate in AR meetings.
• Gather and interpret data from the system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
• Assist financial counselors as needed.
• Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.

Qualifications:

Education:

High School Diploma or GED

Experience:

• Computer Literacy in Word, Excel, and the Internet.

• Strong communication skills

• Problem-solving skills
• Critical and analytical thinking skills
• Must have at least 2 years of related experience, preferably in a hospital setting.

Seven Hills Hospital offers competitive compensation and benefits package including medical, dental, vision, leave benefits, life insurance, and a 401k plan.