Patient Account Representative Full-time

Overview

Pacific Grove Hospital in Riverside, CA., is a leader in behavioral healthcare, providing superior healthcare treatment to the people, communities, and military installations we serve. We are a private inpatient 68 bed acute psychiatric facility with out-patient services, dedicated to the treatment of behavioral health and substance abuse services.

We offer a generous benefits package that includes the following:

• Competitive Salary
• Paid Time Off
• Paid Holidays (8 Total)
• Medical, Dental, & Vision Insurance
• FSA & HSA Plans
• Long-Term & Short-Term Disability
• Company Paid Life Insurance
• Supplemental Life Insurance
• Employee Assistance Program
• Employee Discount Program
• 401(k) Retirement Plan with Company Match

Hourly pay range: $25-30

Responsibilities

Call and status outstanding claims with third party payors.

· Review claims issues and make corrections as needed and rebill.

· Utilize claims clearing house to review and correct claims. Resubmit electronically when available.

· Review 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 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/EXPERIENCE/SKILL REQUIREMENTS:

· High school diploma or equivalent required.

· Three or more years’ prior admissions and or collections experience in a hospital setting required.

· Psychiatric experience preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

· Not applicable

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.