Patient Account Representative

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.

Required Behaviors:

• As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.

Required Qualifications:

• High School Diploma or equivalent
• Computer experience
• Ability to speak, read and write in English
• Strong communication skills: verbal and listening, primarily in telephone conversation, and written
• Ability to work with minimal supervision
• Ability to interface ethically and professionally with all levels of management
• Demonstrates ability to deliver quality work within tight deadlines.
• Independent decision making and discretion.
• Ten (10) key/calculator by touch proficiency

Preferred Qualifications:

• One (1) year of experience in health care or insurance
• Knowledge of third party reimbursement methodologies, especially in hospital setting
• Knowledge of CPT/HCPCS coding
• Previous Meditech experience
• Medical Terminology

Duties and Responsibilities:

• Document summary of communication in the inter facility system(s)
• Maintain knowledge of changing insurance requirements through internal/external training and/or communication
• Communicate additional information/requests needed to the appropriate personnel for further action
• Use personal judgment and initiative to develop effective and constructive solutions per established Guide lines and policies
• Manage, organize and update relevant data using database applications
• Facilitate to expedite reimbursement
• Works in conjunction with other facility departments
• Transmits, works edits, rejections and follow up on pended claims. Works any and all necessary reports as needed
• Acts as a resource to Patient Accounts staff regarding third party payer requirements and contractual issues
• Analyze and interpret data from payers explanation of payments, to confirm proper reimbursement is made according to contract
• Maintain knowledge of daily cashiering functions
• Greeting customer, answering questions or providing directions always in such a way that positively affects the customers perception or experience
• Each employee is responsible for implementing SJRMC’s Service Standards into their daily work:

                                                     Safety, Courtesy, Effectiveness, and Stewardship

• Other duties as assigned

Physical Demands and Environmental Work Conditions:

Physical Activities:

• Extended sitting
• Extended talking
• Extended reading
• Extended listening
• Extensive repetitive motions of both hands, such as: wrist/hand movements, grasping, finger dexterity (as in typing, writing, faxing, filing, etc.)
• Ability to lift up to 50 pounds.

Work Environment:

• The typical noise level will vary from quiet to very loud
• Occasional mild variance in room temperature

Sensory Requirements:

• The employee will need adequate ability to see (both close and distant objects, adjust visual focus)
• The employee will need adequate ability to hear (human speech, primarily telephone communication, verbal instructions, etc.)