Account Representative, Sr. jobs in Sumter, SC

Sliding-Fee Duties and Responsibilities:

• Reviews completed sliding fee applications, making sure the application is complete and that all documents are provided to determine eligibility.
• Makes eligibility determination with a high rate of accuracy, in accordance with Tandem Health's Sliding Fee Program Policy.
• Counsels patients on correct completion of sliding fee application and supplementary documents needed.
• Assists patients with completion of the sliding fee application, as appropriate.
• Assigns appropriate level of sliding fee discount in the designated section(s) of the Practice Management System.

General Duties and Responsibilities:

• Demonstrates superior customer services skills, including but not limited to:

• Interacts with all internal and external customers in a caring and respectful manner.
• Answers telephone, responds to messages/inquiries and routes calls in a timely and polite manner.
• Communicates with patients and their families in a courteous, professional, cooperative and mature manner both in-person and over the telephone.

• Posts payments and adjusts patient accounts in the Practice Management System.
• Enters patient charges into Practice Management System.
• Balances and reconciles all money collected daily.
• Prepares daily deposits.
• Makes referral to Financial Counselor for counseling and payment plan, as appropriate.
• Gives patient Medicaid Application if patient's income suggests that they may be eligible.
• Makes referral to Resource Specialist for assistance, as appropriate.
• Responds to patient requests for sliding fee applications, by appointment or walk-ins.
• Enters and updates patient demographic and financial information into computer system with a high rate of accuracy.
• Calculates discount for affected dates of service.
• Researches bad addresses to obtain a good address for returned mail.
• Scans relevant patient information into the Practice Management System.
• Contacts patients at least one business day before the scheduled appointment to Pre-register the patient and to remind them of their appointment. During this interview, the patient is reminded of sliding fee updates as well as financial responsibility at the time of service, as well as any old outstanding balances.
• Rotates between workstations assigned to PARs to provide back-up coverage, as needed.
• Assists patients with questions as appropriate, or refers to appropriate person for assistance.
• Participates in orientation/training of new team members as requested by supervisor.
• Assists in providing process improvement reports for improving quality of patient care.
• Cross-trains and works in other areas, as applicable.
• Performs other duties as assigned.

Department-Specific Duties and Responsibilities (as applicable):

• Obtains authorization and submits paperwork for Best Chance and Wise Woman as appropriate.
• Obtains authorizations for surgeries, procedures and OB visits
• Initiates Global letters for maternity

Qualifications:

Education/Experience:

High School Diploma or equivalent required. Two to three (3-4) years of previous medical office or related experience required.

To learn more about Tandem Health and our benefits, please click the links below.

https://tandemhealthsc.e3applicants.com/about-us/benefits-trial

https://www.youtube.com/watch?v=STg1IbibH5g