Sr. Patient Account Representative

St. Louis, MO

We are South City Hospital. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.

We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities. 

WHAT WE OFFER 

  • Essential/stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members (including Full-Time and Part-Time) can benefit from. 
  • Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time). 
  • Comprehensive Employee Benefits: Full-Time employees are eligible for various plans for medical, dental, and vision insurance. 

The Sr. Patient Accounts Representative provides account support within assigned area of the business office.  Major functions include billing, collections and third-party payor compliance.

PRIMARY RESPONSIBILITIES

  • Interprets and communicates information regarding credit policies and procedures, billing practices, insurance submissions and out-of-pocket patient responsibility to all customers, including physicians, physicians’ office staff patients and others with a business need to know.   Always complies with HIPAA guidelines.
  • Follows department policy and procedure to ensure the maintenance of adequate documentation to meet audit requirements of internal audit, Medicare, Medicaid and other third-party payors.  Provides timely reports as required within job duties.
  • Ensures accuracy of work at all times.  Updates and corrects billing information in a timely manner as necessary per established department procedure.
  • Resolves account discrepancies by auditing account detail and cash posting within established timeframe.
  • Verifies accuracy of all cash control reports.  Serves as a liaison between Patient Accounts and Accounting.
  • As assigned, completes all special billing, including attorney billings, SSI and MCR remote as needed.
  • Serves as a liaison between Patient Accounts and other hospital departments.  Always communicates is a clear, helpful manner.
  • Oversees the processing of all clerical records and information with patients including cashiering, encounter forms and similar materials.
  • Works in a collaborative, constructive, cooperative team member within the business office. Assists other office personnel in the performance of their duties as assigned.
  • Performs other duties as assigned.

EDUCATION/EXPERIENCE 

  • High school diploma or equivalent; Associates Degree in business field preferred.
  • One year in a healthcare environment required.
  • Knowledge of CPT and ICD coding as well as familiarity with clinical operating policies and procedures, insurance industry practices and Managed Care principles preferred.
  • Medical terminology required.
  • Ability to communicate effectively, both verbally and in writing, with all customers.
  • Ability to resolve problems with minimal assistance.
  • Proficient in computer skills necessary to perform job duties.
  • Strong interpersonal skills.
  • Strong organizational skills.