Responsibilities SCREENING OF APPLICANTS BEGINS IMMEDIATELY AND CONTINUES UNTIL POSITION IS FILLED Minimum Hourly Rate: $20.00 Maximum Hourly Rate: $25.00 Patient Accounts Representative About the Position: We are looking for a full-time/40 hours per week Patient Accounts Representative to work in a fast-paced hospital/business office. This position is responsible for the collections on assigned patient accounts by contacting patients, insurance companies and third-party payors to resolve all outstanding balances; and reconciles the receivables & contractuals from patients’ insurance companies and third-party payors. Identify and resolve any claim delay issues that impact collections. Follow up on payment errors, low reimbursement, and denials. Accurately interpret Explanation of Benefits (EOB). Initiate and track appeals and reconsiderations as necessary. Resolve Coordination of Benefit (COB) discrepancies. Work directly with the insurance company, provider, and patient to get a claim processed and paid. This position is also responsible for the financial counseling of patients and their families. Verify all patient account insurance information within 24 hours of admission. Contact the patient/guarantor and/or third-party payor(s) to secure insurance eligibility and benefit information. Obtains up front deposits and payment plans while patients are in the facility. Daily maintenance of upfront collection spreadsheet. Assures adherence to department quality and productivity standards, expected to work 30+ accounts per workday. Additional compensation provided for achieving established team collection goals. Financial Assessment and Coordination: Create an exceptional customer experience handling inbound and outbound customer service calls efficiently while empathizing with customers and navigating systems in a fast-paced environment. Utilize knowledge of healthcare reimbursement, medical insurance, and negotiating payment terms. Provide benefit education to patients, parents and guarantors. Effectively determine and communicate insurance benefits and patient's self-pay responsibilities to patient/guarantor pre-admission. Monitors and reviews all new accounts and follow-up documents to determine the accuracy and completion of the information received from the Intake (A&R) Department. Notifies the Business Office Director of any delinquent information. Contacts all payors to ensure clarification of insurance benefits and any patient responsibility funds due up front. Investigates any delinquent patient information to identify any special circumstances affecting delay of billing with relations to correct information. Contacts all third-party payor organizations and/or patients as necessary to facilitate the timely gathering of information to ensure billing credibility. Prepares and maintains records and reports documenting the status of all insurance verification and upfront payment collections. Maintains current knowledge of all insurance verification policies and procedures and related legislation. Promotes a positive working environment and guest relations. Assumes and/or performs additional duties as requested. Promotes safety by attending mandatory in-services and complies with all safety measures initiated by the facility About Cedar Springs: At Cedar Springs Hospital, our mission is to deliver the highest quality services to individuals and their families who are dealing with the ramifications of mental illness or substance abuse. Our formula for successful treatment includes innovative services using a level of care that is appropriate to each illness, individually tailored programs and highly qualified mental health professionals. Cedar Springs is dedicated to providing quality, multidisciplinary behavioral health care services to children, adolescents, adults and their families. For more information, please visit: https://cedarspringsbhs.com/ As a full-time employee of Cedar Springs we offer the following benefits: Medical, Vision, Dental, Life Insurance Short Term/Long Term Disability Paid Time Off Education/Tuition Assistance Employee Assistance Program (EAP) Cedar Springs Hospital is in compliance with the Healthy Family and Workplaces Act (HFWA) and Families First Coronavirus Response Act (FFCRA) Qualifications Financial Assessment and Coordination: Create an exceptional customer experience handling inbound and outbound customer service calls efficiently while empathizing with customers and navigating systems in a fast-paced environment. Utilize knowledge of healthcare reimbursement, medical insurance, and negotiating payment terms. Provide benefit education to patients, parents and guarantors. Effectively determine and communicate insurance benefits and patient's self-pay responsibilities to patient/guarantor pre-admission. Monitors and reviews all new accounts and follow-up documents to determine the accuracy and completion of the information received from the Intake (A&R) Department. Notifies the Business Office Director of any delinquent information. Contacts all payors to ensure clarification of insurance benefits and any patient responsibility funds due up front. Investigates any delinquent patient information to identify any special circumstances affecting delay of billing with relations to correct information. Contacts all third-party payor organizations and/or patients as necessary to facilitate the timely gathering of information to ensure billing credibility. Prepares and maintains records and reports documenting the status of all insurance verification and upfront payment collections. Maintains current knowledge of all insurance verification policies and procedures and related legislation. Promotes a positive working environment and guest relations. Assumes and/or performs additional duties as requested. Promotes safety by attending mandatory in-services and complies with all safety measures initiated by the facility Requirements: To perform this job successfully, an individual must be able to demonstrate competency in the criteria listed in this job description. Ability to work independently and part of a team. Experience with medical insurance. Working knowledge of Medicare/Medicaid regulations, policies, and procedures. Strong customer service, written/verbal, organizational, and interpersonal skills required. Computer literate/strong computer skills required - especially in Microsoft Word and Excel. The ability to maintain patient confidentiality. Requires ability to exercise independent judgement to accomplish goals and manage time efficiently to meet multiple deadlines. Successful completion of a background check and drug screen required for employment at Cedar Springs Hospital. Education/Experience: High school education or equivalent. A minimum of one (1) year experience in health care collections or related field is preferred, or any combination of education, training, or experience in a health care business office environment. About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.