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Inpatient Account Representative

Date Posted: 8/10/2022

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Job Description

Ultimate Staffing is seeking a Temporary to Hire Inpatient Account Representative in the Hartford area! 
Email mpatrizzo@ultimatestaffing.com or call (860) 524-5573
 
(For the right candidate, this can be a Direct Hire position) 

The Inpatient Account Representative Responsible for the accurate billing, timely preparation and claim submission of all assigned accounts. Performs regular analysis of accounts to determine collectability and implements appropriate collection, adjustment, or write off procedures to settle accounts. Acts as a liaison between Financial Services and all clinical departments in the hospital.  Reports inconsistencies and trends to management.  Accepts incoming customer service calls from Patients, Patients Families, Attorneys and other professionals.
 
ESSENTIAL FUNCTIONS

  • Demonstrates a thorough understanding of third party coverage and reimbursement for accurate billing and payment.  Maintains working knowledge of all hospital contracts and their relevant procedures and guidelines.  Obtains accurate Medicare available days and eligibility information on relevant patients and discusses information with UR/UM as needed.  Reviews potential risk applications with Supervisor of Patient Accounts.  Keeps Supervisor of Patient Accounts and/or Case Managers apprised of unusual activity on a daily basis.
  • Ensures that all relevant patient admission information is obtained from the Inpatient Admission area in a timely manner and accurately entered into system.  Identify any specific reimbursement arrangements or concerns and notify clinical supervisor.  Collaborate with Case Management regarding relevant Medicare admissions, ensuring that any denials or reinstatements received are distributed.  Maintain constant communication with Medicaid Financial Counselor regarding the status of Medicaid applications.
  • Responsible for the accurate, timely preparation and submission of all assigned claims.  Ensures all claims were produced during closing process.  Mails all claims not transmitted electronically to appropriate payer.  Submits accurate manual secondary billing within 5 days of receipt of primary payment, ensuring appropriate remittances are attached.  Communicates claim errors with appropriate backup documentation to Supervisor of Patient Accounts.
  • Responsible for timely follow-up on assigned accounts and initiation of appropriate collection procedures as required and as defined by policy. Demonstrates a thorough understanding of hospital account receivables.  Uses the A/R reports and worklists to place collection emphasis on balances over 90 days. Concisely document all efforts in hospital accounts receivable system.
  • Utilize hospital contracts and reimbursement policies to ensure appropriate adjudication of accounts.  Demonstrates a strong understanding of system contractual allowances and impact on accounts receivable. Review account activity through the use of payment report, collectability report or similar reports to identify contractual or payment variances.  Analyzes identified variances and implements appropriate rebilling and/or adjustments accurately and efficiently.
  • Maintains appropriate working knowledge of the accounts receivable system, demonstrates effective usage that maintains accuracy of billing and increases timeliness.  Notifies management of any variations in system functionality that affect workflow.
  • Prepares on a monthly basis, a High Dollar report for Sr. Leadership.  Reviews all outstanding accounts quarterly and reports on the potential collectability of each.  Recommends additional reserve adjustments if appropriate.  Analyzes and resolves credit balances on a continual basis.
  • Follows up on all denials. Coordinate appeals with Case Management and documents all ef
    To apply please email your resume to mpatrizzo@ultimatestaffing.com

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Job Snapshot

  • Employee Type:Full-Time
  • Location:Hartford, CT
  • Job Type:Health Care
  • Experience:Not Specified
  • Education:Not Specified
  • Date Posted:8/10/2022
  • Contact: Michael Patrizzo (860) 524-5573
  • Pay Range: $20.00 - $30.00 Hourly
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Job Reference: JO-2208-171830