Job Details

Job DetailsJob LocationNacogdoches, TXPosition TypeFull TimeJob ShiftDayDescriptionPatient Account Rep II - Full-time FULL BENEFITS PACKAGEWhat's in it for you?Generous benefit plans that start the 1st of the month following your start dateHigh Reliability OrganizationHow we treat people in our organization, we are truly committed to patient safety and to our employeesAdditional options for dental, vision, life, and disability coverage.Retirement Plan-457(b)Hospital paid Life InsuranceEmployee Assistance ProgramEmployee Discount at our onsite Starbucks, Café, and Gift ShopATM onsiteFresh VendingFree on-site parkingColleague recognition programTime Away From Work Program (paid time off)About Us:Nacogdoches Memorial Hospital- Celebrating 90 years + of caring for our community and surrounding communities. Our outstanding team combines compassion and kindness with the latest technology and advanced treatments to deliver care.Services Include: Cardiac Services, FastTrack,ICU, Emergency Room, Incontinence Therapy, Medical Imaging, Nutrition Services, Physical rehabilitation, Stroke Action Plan and Surgery.At Nacogdoches Memorial Hospital, we recognize and reward you for your contributions; we have a highly qualified, smart, and ambitious team making a difference in our patient's lives. Our culture of ownership and transparency empowers our team to achieve their goals. We have new transformative owners, for all those on board, it's going to be a challenging and a rewarding journey and we are just getting started.www.nacmem.orgPosition SummaryPrepares all Hospital insurance claims following designated procedures established by each third party payer, i.e. commercial group, Blue Cross, Medicare, Medicaid, Workman's Compensation, Champus or private insurance. Responsible for systematic follow-up of insurance accounts from date insurance claims are billed to receipt of payments, conducts routine reviews to update patient's accounts to correct financial status. Serves as a source of assistance to patients who need help in preparing and submitting claims for personal reimbursement for accounts paid in full. Responsible for collection of personal portion of patient's charges for Hospital services in accordance with all State and Federal laws governing collection practices. Accurately posts cash transactions and maintain accurate Charge Master files. Correctly identifies and posts adjustments. Handles return checks in accordance with Hospital policy. Assists patients in the settlement of their account. Accurately researches accounts for credit balances prior to issuing a refund. Accurately maintains logs and reports as directed by the management.Position Duties (Not all Inclusive)Bill patient's third party claimsMust work at least fifty (50) claims per day100% accuracyClaims are mailed the same day they are receivedLate charges are billed within forty-eight (48) hours of receiptAnswer incoming calls and correspondence concerning insurance billing and initiate calls and correspondence when additional information is required to bill patient's insuranceResponds to written inquiries within forty-eight (48) hours of receipt100% effectiveness of telephone skillsContact insurance companies and patients to secure paymentsMake at least fifty (50) attempted contacts per dayComplete documentation to ensure timeliness of follow-up callsUse of lawful, professional and effective follow-up techniques to secure prompt paymentResearch and recommend appropriate adjustments for supervisor's approvalCompute accurately all accounts requiring a discount on a daily basis and prepare proper discount formsOUR COMMUNITYNacogdoches, the oldest town in Texas and the official Garden Capital of Texas. Nacogdoches is home of the Texas Blueberry Festival . Nacogdoches is a 300-year-old city known as The Oldest Town in Texas. Its located in the heart of Deep East Texas almost equidistant between Dallas/Fort Worth, Houston and Shreveport, Louisiana. Nestled between three national forests and only a short drive from two of the largest lakes in Texas, Nacogdoches is home to Stephen F. Austin State University and has a population of 33,000. Also designated the Garden Capital of Texas, Nacogdoches is recognized for its natural beauty, creeks and trails Nacogdoches has long been a live music destination, and remains that today! Classic old venues make for great music, dancing and enjoying a night on the town. Take in livejazz poolside, dance at a local dance hall or simply relax and reconnect at a local wine bar.QualificationsMust be able to read, write, and communicate effectively in English required.Knowledge of insurance claims/reimbursement procedures commercial, private, and governmental insurance programs.One year hospital insurance/billing/collections preferred.