PATIENT ACCOUNT REP 2 - OLG PATIENT ACCOUNTS - FULL TIME (JOB ID: 5536)
Location: 900 BUILDING
Employment Status: FT
Handling of in-coming cash receipts completes and reconciles deposit, balances cash on hand to include balancing to bank and A/R reconciliation reports. Reviews credit balance A/R for accurate calculations of discounts and adjustments, makes corrections as appropriate. Prepares report to refund appropriate third-party payers and patients once detailed review determines a refund is payable from LGH A/R. Handles actual refund checks mailed to patients and third party payers once approved.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1.Receipts cash amounts, personal and third party payments received toward patient accounts according to established procedures.
2.Identifies appropriate hospital accounts to ensure accurate application of payments received.
3.Receives and processes petty cash disbursements according to established procedures.
4.Prepares daily cash reports and balances all cash on hand to bank and A/R cash reports.
5.Investigates and resolves any out-of-balance problems.
6.Maintains accurate logging on all receipt numbers to insure against loss.
7.Retrieves electronic remittances where eft deposits have been wired directly to hospital bank account.
8.Reviews third-party eob’s to highlight pertinent information to be keyed by data entry, such as the contractual adjustment, patients co-pay amount and deductible.
9.Works A/R credit balance report daily to correct inappropriate adjustments and identify and prepare appropriate accounts that need to be refunded to patients or third party payers.
10.Maintains accurate documentation on research regarding accounts refunded for an audit trail.
11.Research and determination of refunds must accompany thorough, accurate and precise.
12.Keeps current on regulations and managed care contracts to insure proper refund protocol per Contract negotiations with each payer.
13.Works closely with the Medicare Credit balance rep to make sure appropriate Medicare adjustments are made timely.
14.Patient refunds are a priority and the goal is to refund these amounts within 1 week of the overpayment being made.
15.Always alert for misapplied payments or credit balances that may need to be moved to open accounts.
16.Follow up on accounts with missing charges before processing refunds.
EDUCATION - TRAINING – EXPERIENCE
1.High School graduate required.
2.3-5 years of Business Office or Medical Billing experience.
3.Knowledge of Medicare, Medicaid, and HMO contracts.
4.10-key data entry experience.
5.Three months on the job training.
6.Strong computer skills (MS Word and Excel).
7.Verbal ability is required to interpret procedures and contracts.
8.Ability to work well with others and communicate professionally with customers and hospital staff.
1.Hospital billing software experience preferred.
2.Accounting or Banking experience a plus.
3.College or technical education preferred.
Physical Demands and Working Conditions
1.Speaking and listening skills are important to communicate effectively.
2.Work is inside.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
·Medium Work as defined by the U.S. Department of Labor constitutes a maximum lift of 21-50 pounds on occasion and/or a maximum lift of 11-25 pounds on a frequent basis