Hybrid Patient Account Representative 4 – Hospital, PFS Epic Ticket Coordinator

at Franciscan Missionaries of Our Lady Health System

• Job title: Patient Account Representative 4 – Hospital, PFS Epic Ticket Coordinator
• Job type: Full Time
• Experience level: Senior, Lead
• Salary: Not specified
• Degree requirement: High School Diploma
• Location requirements: Hybrid, Baton Rouge, United States

About the role

• Patient Accounts Representative 4 coordinating with patients for timely payment and reimbursement. Involves billing, collections, and customer service functions in the Health System.

Responsibilities

• Execute Business Office Operations and Functions
• Performs billing, collections, payment processing and/or customer service tasks according to documented process, applying critical thinking to determine appropriate outcomes based on the situation.
• Updates account with ownership and accountability of the entire account at that point in time; Notes should be sufficient and complete to describe current situation and next steps.
• Leverages contract knowledge and expertise to drive revenue
• Evaluates root cause and resolves issues on that specific account being worked in timely manner to maximize revenue flow, minimize write-offs and maintain customer satisfaction
• Completes most transactional updates with one interaction; completes majority of work independently including most of the complex scenarios and collaborates with other internal departments and external entities as appropriate
• Identifies patterns, trends in account issues and escalates as appropriate so root cause can be addressed and improved.
• Maintains subject matter expertise on regulations, process and policies by attending training and applying in daily work
• Consistently meets production and quality requirements for area, driving overall department objectives for A/R, Claim Counts and past dues.
• Responds to requests (from customers, co-workers, management) in a timely and professional manner.
• Assists with planning and participates in internal and external meetings as a representative of department

Requirements

• 8 years experience in Revenue Cycle / Hospital Business Office programs (Customer Service, Billing, Follow-up) or equivalent industry experience.
• Related certification program in areas such as billing, medical office, coding and accounting can be substituted for 1 year of experience.
• Bachelor's Degree can substitute for 4 years of experience; Associate's Degree can substitute for 2 years of experience.
• High School diploma or equivalent
• Must possess knowledge of ICD-9/10, CPT and HCPCS coding.
• Apply critical thinking and problem solving skills as it relates to resolving accounts.
• Must understand the explanation of benefits of various managed care companies and regulations.
• Must be able to demonstrate teamwork and willingness to work in cooperation and support of others as well as comply with FMOLHS policies, procedures and core values.
• Communication, interpersonal and collaboration skills.

Benefits

• Health insurance
• Retirement plans
• Paid time off
• Professional development
• Flexible work arrangements