Patient Acct Rep

At Grafton City Hospital, we are committed to providing exceptional healthcare services with compassion, integrity, stability, vision, and innovation. Since 1945, our hospital has been the cornerstone of the Grafton community, serving patients and families with personalized care and advanced medical treatment. As one of the largest employers in Taylor County with over 100 dedicated and caring employees, we are committed to employing our talents and abilities to solve any challenges our patients and communities face. Grafton City Hospital is centrally located less than 30 miles from Morgantown, Bridgeport, and Fairmont, WV.
Job Summary:

• Reviews and verifies patient account information and charges to ensure accuracy and completeness. Submits the bill to the appropriate payer within one (1) day of receipt of billing documents.
• Monitors' ad follows outstanding accounts for timely payments specific to payer type, i.e., Medicare - 30 days; Medicaid - 60 days; Workers' Compensation - 60 days; private insurance carriers - 45 days; and private pay accounts - 30 days. Receives and responds to billing related inquiries, and will be responsible for billing reports specific to the assigned payer or type.
• Anticipates and acts to maintain a safe environment for the patient and others.
• Maintains a courteous and professional manner in dealing with patients, visitors, medical staff, fellow employees and students.
• Answers the telephone promptly and courteously, responding accurately to billing inquiries. Directs inquiries or concerns that cannot be handled by the Patient Account Representative to the Business Office Department Manager.
• Maintains congenial liaison with other hospital departments and personnel for the purpose of obtaining and furnishing appropriate information related to the Business Office Department.
• Deal effectively with expressions of anger and hostility from others.
• Complies with all reimbursement billing procedures for state and federal payers as well as third party and private insurance carriers.
• Demonstrates understanding of department and Hospital Quality Assessment/Improvement programs
• Demonstrates regard for the dignity, respect, and safety of all patients, family members and hospital personnel. Anticipates and acts to maintain a safe environment.
• Demonstrated understanding of and adheres to the Hospital's Infection Control policies.
• Promotes and contributes positively by volunteering to assist co-workers, contributing ideas and problem-solving with co-workers.
• Participates in planning and implementing change and maintaining/improving productivity through attendance and participation in staff meetings, committees, projects and interactions with the Department manager.
• Exercises independent thought and action with self-reliance
• In relationship to area, knows location and correct use of equipment.
• Demonstrates flexibility in response to unexpected changes in work volume.
• Review all assigned patient accounts on the date received for accuracy and completeness.
• Identifies and resolves any patient charge or other account discrepancy within one day of receiving the file.
• Identify the portion of charges to be billed to the patient's insurance company, Medicare or other third-party carriers and those charged to the patient directly within one day of receiving the file.
• Maintains patient information and always updates information in the patient account management system.
• Monitor outstanding patient accounts on a daily basis and refer overdue problem accounts to collect for further action or establish a payment contract with the responsible person(s) according to patient accounting policies.
• Review outstanding insurance accounts, according to department procedures, to identify past due for follow-up with responsible parties.
• Investigates over-payments and takes appropriate action to resolve the variance within thirty (30) days of occurrence.
• Discusses complaints or problems through appropriate communication channels. Set appropriate priorities.
• Organizes work for smooth, efficient productivity.
• Exhibits dependability as evidenced by reliable attendance in accordance to hospital policy.
• Attends department staff meetings as scheduled. Participates in mandatory in-service initiatives.
• Follows all hospital policies, assuming responsibility for his/her/their own behavior.

Educational Requirements and Certifications

• High school graduate or equivalent with a concentration on business, clinical instruction

Experience

• Minimum 1-2 years experience in a medical billing environment, in an automated billing environment preferred.
• Ability to work and deal effectively with others.
• Demonstrated experience in developing and maintaining interpersonal relationships with co-workers,
• Good working knowledge of local, state and federal regulations pertaining to hospital billing and/or collections.
• Demonstrated strong time management abilities,

Grafton City Hospital is an Equal-Opportunity employer.