Senior Patient Account Representative

Job Description

Monitors the activities and performance of physician practices to ensure that billing related functions are performed in an efficient manner consistent with department policies and procedures. Onsite training at Mather hospital in Port Jefferson New York.

Job Responsibility

• Loads all Medicare and Medicaid rates in Soarian
• Loads the PDPM Rates for TCU in Soarian
• Loads Commercial Contract
• Interfaces with physicians and administrators to ensure financial growth and stability; apprises physicians of new and revised procedures.
• Monitors accuracy of fee structure and reimbursement payment schedules from third party payers, all cash payment deposits and refunds.
• Acts as resource person for resolution of complex billing situations.
• Guides billing/clerical staff regarding billing and office/clerical functions.
• Coordinates clinical documentation requests to business office to ensure timely appeals.
• Develops and implements policies and procedures to facilitate billing and maximize case collections.
• Reviews and recommends improvements for financial management of each billing area.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• Associate's Degree required, or equivalent combination of education and related experience.
• 3-5 years of relevant experience, required.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).