Patient Account Assistant
POSTED FOR INTERNAL CANDIDATES ONLY.
Job Number: SFHC-REVCYC-407-01
FTE: Full-time
Location: Gwinn, MI
POSITION SUMMARY:
The Patient Account Assistant is responsible for posting payments and adjustments to patient accounts attributed to insurance payments, patient payments, and other sources, and performs limited reporting and balancing of daily transactions.
POSITION ACCOUNTABILITIES/COMPETENCIES*:
- Posts insurance and patient payments including contracted and non-contracted adjustments, refunds, voids and recoupment transactions from insurance carriers into patient account system.
- Posts appropriate adjustments when required according to terms of insurance contracts
- Downloads batches and remittance advices from clearinghouse.
- Monitors reimbursements for underpayments and remittances with zero payments bringing the information to the Accounts Receivable (AR) team to resolve.
- Identifies and resolves unposted payments in collaboration with AR team.
- Reconciles posted payments on a daily basis.
- Escalates payment issues to the AR Team.
- Assists with claim submission for Care Management
- Communicate effectively and professionally with both internal and external constituents.
- Comply with federal and state law and regulation at all times.
- Attend and participates in meetings and in-services as required and/or assigned.
- Maintain knowledge of established organizational policies and procedures, objectives, performance improvement program, safety, environment of care, management of information, and other standards.
- Supports the UGLFHC mission by “providing exceptional health care services for all people in the Upper Great Lakes region regardless of their ability to pay”.
- Performs other duties as assigned.
Education, Training, Licensing and Credentialing
Required:
- High School graduate or equivalent.
Experience and Skills
Required: Effective written and verbal communication skills
- Detail-oriented and highly organized
- Computer experience
Preferred:
- Ability to work independently and to plan priorities with minimal supervision, as well as part of a team.
- Advanced knowledge of Microsoft Excel and Word
Physical Demands, Working Conditions and Travel Requirements
Physical Demands:
- Limited infrequent physical effort and lifting and carrying up to 25 pounds
- Frequent sitting and sedentary work in an office setting
- Occasional standing/walking
- Manual dexterity and mobility to perform office-related tasks
- Ability to see with acuity, hear, and speak in order to communicate with people in person and by phone and perform office and computer-related tasks
- Occasional reaching, stooping, bending, kneeling and crouching
Working Conditions:
- Occasional direct contact with patients
- Subject to many interruptions
- Subject to a varying and unpredictable situations
- Subject to pressure due to multiple phone calls and inquiries
- Occasional service area travel for meetings, training, and related reasons.
