Overview

Nacogdoches Medical Center Hospital is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.

At Nacogdoches Medical Center, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

DESCRIPTION

The Patient Account Representative I performs daily tasks such as auditing patient accounts, responding to correspondence, email requests, respond to patient and payer inquiries and concerns, perform claims follow-up, and completes special projects or other related duties as assigned.

Responsibilities

RESPONSIBILITIES

Responsible for sending requested CCD receipts from phone payments, printing patient statements, insurance follow up and collections, insurance follow up and collections, including making telephone calls, accessing payer websites and VI Web. Responsible for accessing any insurance portals or platforms for claim resolution, providing 0-90+ aged claims, providing claim status aged claims 120+, determining claims that have been fully worked, determining adjustment claims, determining overpayments, deductibles & coinsurance & copays, processing claims assigned by PAR III or direct supervisor, and bringing in outstanding revenue for aged claims 121+. Responds to inquiries on accounts as referred by other departments. Auditing patient statements. Audit and review account for Patient Refund. Initiating and process the refund for patient or insurance. Inform direct supervisor of insurance trends, contract rate changes, increase in denials, etc. Accurately and thoroughly document the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Review and resolve denied claims. Review and provide requested information to health insurance for claims processing. Review and process incoming correspondence. Process patient/insurance phone calls. Collect patient payment when applicable. Manage Insurance Aging Reports. Deescalate phone calls and provide a resolution within 24-48 hours. Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary. Responsible for other duties deemed necessary by direct supervisors.

Qualifications

QUALIFICATIONS

Education:

Required: High school diploma or equivalent

Preferred: Completion of a Medical Billing or Medical Administration Assistant Program or equivalent experience.

Experience:

Required: 1 year of customer service and/or medical billing.

Preferred: 2 years of billing and/or customer service experience in a commercial or health care environment. Proficient in Word and Excel

Certifications:

Not applicable

Organization Description

Nacogdoches Medical Center has been serving the East Texas community for nearly 50 yearswith a focus on caring for patients and a strong team environment. Service lines at the hospital include obstetrics and gynecology, cardiology (including a cath lab and electrophysiology capabilities), cancer care, neuroscience (Brainlab technology and stroke treatments) and weight loss surgery. Theseservices help the medical center provide treatment options close to home for patients. Join our team!

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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