Patient Account Rep - CommonSpirit Health : Job Details

The Chattanooga Heart Institute offers the most comprehensive cardiac care available in this region. Founded in 1976 we now have six offices in Tennessee and one in Georgia. Our practice is made up of 29 board-certified cardiologists and three cardiothoracic surgeons. We merged with CHI Memorial Health Care System in 2011 which is part of CommonSpirit Health. CommonSpirit has more than 700 care sites across the U.S. and is committed to building healthy communities.

Job Summary:

Review self-pay account receivables to ensure timely collections from patients. Follow-up on bankruptcy notifications, discharges and court filings. Responsible for answering phones and resolving issues with patient accounts, turning accounts to collections, initiating patient terminations, sending termination letters, and follow-up with probate court for deceased patients.

Essential Responsibilities:

• Field patient and insurance calls/visits regarding patient accounts receivables coming into the Business Office with attempts to resolve issues and collect balance from patients.
• Maintain daily collection goals by collecting payments from patients on patient account receivables, by making telephone calls to encourage timely payments and set up payment arrangements.
• Audit patient accounts for accuracy regarding charges, payments, demographics, insurance information and filing to ensure contractual agreements are being met.
• Request adjustments, write-off, payment, transfers and refunds/recoups when appropriate.
• Work A/R aging reports, review claims, status, patient eligibility, accuracy of account information and modify as needed to ensure proper and timely payment.
• Review patient charges for delinquency and make decisions regarding collection processes.
• Review bankruptcy notification and discharges for adjustments to accounts. File claims to bankruptcy court. Review report from EPM quarterly to ensure timely follow up of bankruptcy claims.
• Review deceased patient logs and reports weekly. Follow up on accounts to determine status of estate. Call appropriate probate court to determine estate status. Complete adjustment request when appropriate.
• Review accounts for patient termination based on financial guidelines per practice policy. Send termination letter, review for completion of termination and send appropriate documentation to Medical Records.
• Maintain a working knowledge of insurance guidelines through newsletters and websites.

Education:

• High school diploma or equivalent; some college preferred.

Qualifications:

• Two or more years of insurance follow-up/patient accounts experience with customer service background.
• Medical office preferred.