PATIENT ACCOUNT REP II (Commercial/Follow Up)

Summary

Located in Franklin, Tennessee, Williamson Health is one of the South’s most exceptional health care systems with a 203 bed hospital (Williamson Medical Center), over 40 providers at our Williamson Health Medical Group locations, the Bone & Joint Institute and the Monroe Carell Junior Children’s Hospital Vanderbilt at Williamson Medical Center.  Williamson Health offers comprehensive in-patient and out-patient services. We have more than 825 providers representing over 70 medical specialties and sub-specialties. 

Williamson Health is a system where your talents will be valued and your skill set expanded. We are rooted in our promise to world-class, compassionate care for the residents of Williamson County and surrounding communities, taking exceptional pride in serving our community. We’re committed to empowering our employees to work in innovative ways and reserve time and space for curiosity, laughter and creativity. We value and support the diversity and cultural differences among one another and are committed to upholding an inclusive environment that appreciates the uniqueness of all individuals. Our values are at the heart of everything we do: respect for every individual, the health and total well-being of all people, human compassion and integrity. These shape who we are as an organization and are essential for delivering the highest level of culturally competent care and treatment of every patient, family member, visitor, physician and employee.

Williamson Health is pleased to offer a comprehensive benefits program, that offers you choice and flexibility, so you can take charge of your physical, financial, and emotional well-being. 
o    Medical, Dental, Vision
o    PTO
o    Retirement Matching
o    Tuition reimbursement
o    Discount programs
o    FSA (Flexible Spending Accounts)
o    Identity Theft Protection
o    Legal Aid

Williamson Health is an equal-opportunity employer and a drug-free workplace.
 

Position Summary:
This position primarily involves following up on accounts for services rendered at WMC. This is to maximize the full payment potential of each claim from the Commercial, Government and Auto Liability carriers in a timely and accurate manner. The Patient Account Rep serves as a liaison between the patients and insurance carriers. The PAR works with all departments in the hospital to ensure the proper charges, adjustments and codes are processed by the carriers and the patient’s balance is correct.  This position also serves as a fill in for the Commercial/Government Biller whenever needed.

Position Requirements:
Formal Education / Training:
Must be a high school graduate or equivalent, have hospital or physician billing experience, have PC and calculator experience, and have good communication skills to discuss account financials with insurance carriers and patients

Workplace Experience:
Prior experience in a hospital setting or related area is required.

Equipment and Skills Training:
Meditech System, SSI Electronic Billing System, SSI Electronic System for RA Print, Valco System, Passport System, Blue Cross DDE System, Excel, Word, PC, Printers, Fax, Copier

Physical Environment:
Business Office

Physical Effort:
Requires sitting for prolonged periods of time, viewing the computer screen and using repetitive motions, and must have a clear, understandable telephone voice

Key Results:
Utilizes SSI Electronic software (when necessary) to accurately process all Commercial and Government accounts assigned by system daily
Processes Commercial and Government, Auto Liability paper claims when necessary
Compares SSI electronic claim against Meditech claim when dealing with carrier questions regarding claim submitted and works on resolving discrepancies to prevent denial.
Utilizes Passport, Government and Commercial websites to access on-line information such as claim status inquiries, eligibility, etc.
Analyzes Commercial and Government EOBs and remittances for secondary insurance filing and to determine appropriate patient liability or secondary payer amount
Utilizes Outlook to communicate denials with the various departments and ensures timely response/resolution to denials. 
Reviews and takes action on Commercial and Government accounts provided on Meditech Collector Desktop (ATB) in a time frame consistent with peers
Converses and documents discussions with Commercial, Government and Auto insurance carriers as well Attorneys regarding unpaid claims. 
Answers patient calls regarding billing and account balances for all Commercial and Government accounts
Re-queues Commercial and Government claim forms and itemized bills as needed after audit corrections have been completed
Handles and prioritizes multiple tasks.

Completes any other job duties assigned by the department Director or Supervisor(s)
 

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