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Patient Account Representative-Thibodaux Regional Pain Clinic

VitalWare

VitalWare

Sales & Business Development
Thibodaux, LA, USA
Posted on Sunday, June 9, 2024

Join one of the nation’s leading and most impactful health care performance improvement companies. Over the years, Health Catalyst has achieved and documented clinical, operational, and financial improvements for many of the nation’s leading healthcare organizations. We are also increasingly serving international markets. Our mission is to be the catalyst for massive, measurable, data-informed healthcare improvement through:

  • Data: integrate data in a flexible, open & scalable platform to power healthcare’s digital transformation​

  • Analytics: deliver analytic applications & services that generate insight on how to measurably improve​

  • Expertise: provide clinical, financial & operational experts who enable & accelerate improvement​

  • Engagement: attract, develop and retain world-class team members by being a best place to work​

Role: Patient Account Representative

Location: Thibodaux Regional Pain Clinic (Thibodaux, LA)

Team: Tech-Enabled Managed Services (TEMS)

The Patient Account Representative will be responsible for the credentialing process for the employed providers as well as coordinating deposits, refunds, scanning necessary information to the outsourcing company. This position will also be responsible to assist in the completion of the enrollment documents for payers.

PRIMARY RESPONSIBILITIES:

  • Prepares credentialing documentation for specific payer groups.
  • Assist with the completion of managed care and other payer enrollment forms.
  • Ability to answer questions from patients, staff from physician offices, managed care companies, payers concerning payments/charges, etc.
  • Maintain credential files for employed physicians and allied health staff.
  • Prepares deposits for clinic practices received by mail.
  • Processes credit card payments and refund for clinic practices.
  • Assist with necessary billing documents required from the outsourcing company.
  • Clerical liaison for the clinics and the outsourcing billing company.
  • Collects, sorts and delivers mail.
  • Compiles financial hardship reports and prepares professional write-offs for employed physician practices for the billing company.
  • Provides supportive services to Medical Staff leaders in fulfilling the responsibilities of their offices.
  • Occasionally backs up front desk at physician offices.
  • Performs other duties as assigned.

SERVICE EXCELLENCE:

  • Provides prompt, courteous service to all internal and external customers. Prioritizes and addresses customer needs and demands in a professional manner, providing follow-up and developing cooperative relationships.
  • Identifies opportunities and recommends methods to improve customer service, work processes and financial performance. Assists in design and implementation of quality improvement initiatives on departmental and organizational levels.
  • Assists team members in completion of tasks and assignments to ensure continuity of service. Orient new co-workers and actively support team development.

AGE SPECIFIC CONSIDERATIONS:

May provide patient care for people of the following age group:

  • Neonates (Birth – 28 days)
  • Pediatrics (29 days – 14 years)
  • Young Adult (15 years – 24 years)
  • Adults (25 years – 64 years)
  • Geriatrics (65 years and older)

QUALIFICATIONS:

Educational and/or Professional Qualifications:

1. High school diploma or GED preferred.

Previous Experience

A minimum of one year experience working in a medical business office, clinic, or hospital setting required. Insurance and collection experience is preferred.

Other Special Training/Skills:

Has a pleasant voice and good language skills. Able to operate a computer. Possess basic mathematical skills.

SUPERVISION EXERCISED:

No direct line of supervision.

CONTACTS INSIDE AND OUTSIDE THE ORGANIZATION:

  • Daily contact with patients/family members
  • Daily contact with physicians
  • Daily contact with supervisors/managers
  • Daily contact with coworkers
  • Daily contact with managed care organizations/payers

EQUIPMENT, MATERIALS, AND VALUABLES:

  • Computer
  • Fax Machine
  • Photocopier
  • Shredder
  • Scanner

SCHEDULE:

Typical work hours are Monday through Friday from 8:00 a.m. to 4:30 p.m.

HAZARDS:

  • Job duties will include tasks which have the potential for daily exposure to patient blood/body fluids.

PHYSICAL EFFORT:

[Note: In terms of an 8 hour day (shift length), “Occasionally” equals 1-33%, “Frequently” equals 34-66%, and “Continuously” equals 67-100% of the time].

  • Constant sitting.
  • Intermittent standing and walking.
  • Occasional lifting, carrying, pushing and pulling up to 15 pounds.
  • Occasional bending, squatting, twisting, and stair climbing.
  • Frequent reaching.
  • Must be able to see (near, far, and have depth perception), hear, talk, have use of right and left hands, have dexterity in fingers.

Information Security and Compliance Responsibilities:

  • Maintain compliance with training directives required by the organization pertaining to Information Security, Acceptable Use Policy and HIPAA Privacy and Security.
  • Adhere to and comply with the organizations Acceptable Use Policy.
  • Safeguard information system assets by identifying and reporting potential and actual security events to the organizations Security and Compliance Officers.

The above statements describe the general nature and level of work being performed in this job function. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned by Health Catalyst.

The above statements describe the general nature and level of work being performed in this job function. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned by Health Catalyst.

Studies show that candidates from underrepresented groups are less likely to apply for roles if they don’t have 100% of the qualifications shown in the job posting. While each of our roles have core requirements, please thoughtfully consider your skills and experience and decide if you are interested in the position. If you feel you may be a good fit for the role, even if you don’t meet all of the qualifications, we hope you will apply. If you feel you are lacking the core requirements for this position, we encourage you to continue exploring our careers page for other roles for which you may be a better fit.

At Health Catalyst, we appreciate the opportunity to benefit from the diverse backgrounds and experiences of others. Because of our deep commitment to respect every individual, Health Catalyst is an equal opportunity employer.