Patient Accounts Representative jobs in Sumter, SC

The primary purpose of this position is to organize and maintain all records related to resident medical billing and collections in an effective, efficient, and financially sound manner. Responsible for all fiscal aspects of admission and preparing accounts for billing to ensure maximum payment on a timely basis. Ensures protection of nursing homes; financial position.

As an Accounts Receivable Representative, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.

*Implement and maintain systems to collect, document, process, and submit accurate, complete resident charges to appropriate payers

*Implement and maintain systems to establish a valid paper trail for all resident charges from the provision of goods and services to receipt of reimbursement

*Implement systems to assure confidentiality of resident financial information

*Implement systems to assure compliance with federal, state, and local requirements for resident and facility financial records

*Implement systems to collect, process, organize, file, and maintain all records related to reimbursement in a financially sound manner

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

This position will report directly to the Chief Financial Officer.

Job Functions

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Work cooperatively with facility staff, evaluate facility needs to submit accurate statements of resident charges to appropriate payers

Implement and maintain an effective organized, efficient system to submit accurate statements of resident charges to appropriate payers. Responsible for review of patient financial accounts for accuracy and completeness of information and documentation.

Prepare and submit accurate, complete statements of resident charges to appropriate payers. Make appropriate corrections and obtain missing information/documentation as needed.

Maintain accurate, neat, and organized files of all data related to resident medical billing and charges. Assist residents/responsible parties with billing concerns.

Keep informed on all federal, state, and local requirements related to medical billing

Issue resident notifications of medical billing as required. Notify residents and/or responsible parties who receive services about balances due.

Process correspondence related to reimbursement in a courteous, timely, and accurate manner

Verify accuracy of resident charges from all sources, collect and enter accurate clinical data for federal and state reimbursement

Communicate and work cooperatively with residents, residents’ representatives, fiscal intermediaries, carries, accountants, HMOs, auditors, cost report preparers and private insurance companies

Communicate and work cooperatively with facility vendors, suppliers, contractors and ancillary services personnel

Justify Remittance Advice records

Accurately track and collect reimbursement due from all payer sources. prepare Medicare Part A and Part B logs. Keep current with all internal and external policies and procedures that may affect reimbursement

Maintain accurate records on resident health benefits from all payer sources Maintain third-party logs, maintain working knowledge of major third-party regulations and compliance issues

Notify residents/responsible parties about balances due. Assist residents and responsible parties with billing concerns

File inquiries, reconsiderations, and appeals to the appropriate payer sources upon receipt of rejection of reimbursement for any reason

Monitors patient accounts and follows up on all account collection procedures

Prepare and make deposits

Prepare and maintain Tube Feeding and Brief payment logs

SOUTHERN SENIOR LIVING exists to "Provide excellent healthcare with compassion and dignity in a vibrant and positive community."

Our vision is: "To preserve and restore health in a person-centered and innovative environment."

Southern Senior Living is an EOE - Equal Opportunity Employer .

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Experience level:

• 3 years
• 4 years
• 5 years

Schedule:

• Monday to Friday

Supplemental pay types:

• Overtime pay

Experience:

• SNF Billing: 1 year (Required)

Ability to Relocate:

• Manning, SC 29102: Relocate before starting work (Required)

Work Location: In person