Patient Account Representative/Collector FT
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WILSON COUNTY MEMORIAL HOSPITAL DISTRICT
Floresville, TX, US
Summary
The Patient Account Representative is responsible for filing primary and secondary insurance claims and performing follow-up on payment, claim, and appeal statuses. They also collaborate with other departments to resolve issues and provide professional customer service to hospital personnel.
Job Description
Job Details: Job Location: CMMC South Campus - Floresville, TX, Position Type: Part Time, Education Level: High School, Salary Range: Undisclosed, Travel Percentage: None, Job Shift: Day, Job Category: Finance, Summary Under general supervision of the Business Office Manager. Contributes to the processing of various tasks required to achieve department goals and objectives. Adheres to all policies and procedures documented in the Connally Memorial Medical Center policy and procedure manual.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
All incoming calls must be answered then distributed to the person responsible for the calls that day.
File primary and secondary claims and assist in performing follow up with high degree of accuracy,
Completeness and timeliness with attention to Medicaid, Medicare and workers comp regulations.
Make calls to insurance company for payment status, claim status and appeal status.
Collaborates with other departments to create systems and problem solve ongoing issues that impact departmental/organizational goals and/or patient care delivery.
Demonstrates fiscal accountability for department resources and the ability to achieve outcomes within allocated resources.
Provides ‘customer service’ to hospital personnel in a timely, professional manner.
Maintains open communication using appropriate chain of command regarding issues.
Maintains confidentiality of all pricing, hospital, and patient information at all times as observed by peers and management.
Continuously displays a ‘can do’ attitude within the department and across departmental lines to contribute to the overall customer service program in place at hospital.
Qualifications: Education and/or Experience
One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.
Other Qualifications
Knowledge of THMP Medicare/Medicaid system and insurance payor guidelines desirable.
At least 2 years of hospital commercial collection experience, resulting in maximum reimbursement.
Must be detail oriented with excellent communication skills.
Great customer service skills a must.
Computer literate, knowledge of, or ability to learn hospital soft ware is required.
Evening and weekend shift as required.
It’s an exciting time at Connally! We’re committed to providing high-quality medical care in a friendly hospital environment, and we are always making changes to take us to the next level of care and service. From our state-of-the-art surgical services to our 24-hour emergency department, Connally strives to meet the growing healthcare needs of Wilson County. We take very seriously your health care that has been entrusted to our hospital staff and appreciate the privilege of serving you and giving you and this community a healthier future.
Our medical staff includes skilled, board-certified physicians representing a wide range of medical specialties. You’ll find the desire to help others in the hearts and minds of our caring and experienced nurses, medical technicians and support staff.
At CMMC, we want the patient experience to be as pleasant, convenient and comfortable as possible. That’s why we’ve added amenities such as convenient parking and room service for all patients. Most importantly, we’re here to help you get well, get healthy, and get your life back to normal as quickly as possible.
We welcome the opportunity to serve you and your family, we thank you for your trust, and I personally invite you to make Connally your hospital of choice.
Company size
201-500 employees
Industry
Hospitals and Health Care
Org type
Public Company
Headquarters
Floresville, Texas
It’s an exciting time at Connally! We’re committed to providing high-quality medical care in a friendly hospital environment, and we are always making changes to take us to the next level of care and service. From our state-of-the-art surgical services to our 24-hour emergency department, Connally strives to meet the growing healthcare needs of Wilson County. We take very seriously your health care that has been entrusted to our hospital staff and appreciate the privilege of serving you and giving you and this community a healthier future.
Our medical staff includes skilled, board-certified physicians representing a wide range of medical specialties. You’ll find the desire to help others in the hearts and minds of our caring and experienced nurses, medical technicians and support staff.
At CMMC, we want the patient experience to be as pleasant, convenient and comfortable as possible. That’s why we’ve added amenities such as convenient parking and room service for all patients. Most importantly, we’re here to help you get well, get healthy, and get your life back to normal as quickly as possible.
We welcome the opportunity to serve you and your family, we thank you for your trust, and I personally invite you to make Connally your hospital of choice.
Company size
201-500 employees
Industry
Hospitals and Health Care
Org type
Public Company
Headquarters
Floresville, Texas