Overview Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice…
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Full-time
high school
Health Insurance, Tuition Assistance, Defined Benefit Pension Plan, Professional Growth Support
Posted 8d ago
Apply by Jul 30
~40 hrs/week
Responsibilities
The Patient Account Representative is responsible for reviewing third-party and patient accounts to ensure accurate billing and timely payment remittance. They must document account status, resolve claim issues, and collaborate with internal and external stakeholders to improve revenue cycle outcomes.
Requirements
Candidates must have a high school diploma or equivalent and at least two years of experience in healthcare billing or customer service. Proficiency in medical coding, EHR systems, and strong analytical skills are required for this role.
Full job description
Overview
Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.
At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time.
We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace!
Job Details
Under the direction of the Hospital RRC Supervisor/ Manager, the Hospital Patient Financial Services (PFS) Representative is responsible to review all assigned third-party and/ or patient accounts, ensure that responsible payers are billed and remit payment in a timely manner, and to document account/ claim status and actions appropriately in the patient accounting system(s). Identifies, communicates and escalates complex claim issues, billing/ payment trends, and recommends solutions to leadership.
PERFORMANCE RESPONSIBILITIES
Reviews hospital accounts assigned by system generated work-queues or reports to determine appropriate actions for moving accounts forward in the revenue cycle. Performs those actions such as initiating phone calls, submitting website inquiries, writing letters of appeal to payers and inquiries to patients, recommend write offs and adjustments, ensures that account balances are valued as per payers’ contracts, . all in accordance with department policies and procedures.
Meets and/or exceeds productivity and quality standards as set forth in the department’s policies and procedures.
Performs root cause analyses on accounts with a solutions focus; tracks trends and escalates carrier or revenue cycle system issues to the Team Lead and/or Supervisor.
Participates in projects and audits as directed by leadership; collects and assembles financial documents related to billing and payment to substantiate services and reimbursement.
Collaborates with internal departments, external vendors, and IT for issue resolution and operational effectiveness.
Regularly meets with Team Lead/Supervisor to discuss and resolve billing obstacles, reimbursement issue, and process improvements.
Monitors accounts for timely filing guidelines and prioritizes work accordingly. Ensures claims are compliant, meet payer requirements, and billing errors/ claim rejections are resolved timely so that financial losses are minimized. Escalates and reports any delays in claims adjudication.
Assesses payments (or lack of) and adjustments for accuracy and timeliness. Understands and reviews payer reimbursement systems/ contracts to establish accuracy in the A/R. Reviews regulatory and contract updates to understand impacts to reimbursement from federal, state, and managed care payers. Corrects transactions and transfers balances to responsible parties as necessary in addition to reporting and documenting on-going issues to management.
Promotes and delivers positive patient experience and patient satisfaction
Performs other duties as assigned
Adheres to all organizational policies and procedures.
POSITION REQUIREMENTS AND QUALIFICATIONS:
Education:
High School diploma or equivalent required.
Licensure/Certification:
Industry certification (AHIMA, HFMA, AAPC, etc.)
Skills:
Competent in a variety of patient accounting systems and associated applications.
Demonstrates strong knowledge of third party operations and reimbursement structures.
Knowledgeable in medical terminology, CPT, HCPCS, and ICD10 coding used in healthcare.
Ability to work independently, exercising good judgment, and multi-task in a high stress, fast-paced, and ever-changing service environment with patients, patient’s family, insurance carriers, and leadership.
Detail-oriented with solid analytical problem-solving skills.
Excellent customer service skills to communicate effectively with payers, patients, and colleagues.
Excellent communication skills including oral and written comprehension/ expression.
Ability to maintain professional conduct and good working relationships with staff, management, and payers.
Microsoft Office proficiency, subject to testing.
Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the usual and customary.
Experience:
A minimum of two years' experience in healthcare billing, healthcare customer service, or a related field required.
EHR experience (Epic preferred)
Salary Range
USD $24.00 - USD $30.00 /Hr.
This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.
At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.
Welcome to an integrated health care delivery system focused solely on the people of Long Island.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Headquarters
Rockville Centre, NY
LinkedIn followers
53,762
When it comes to health care, Long Islanders have a choice. And a great many choose Catholic Health, an integrated health care system with deep roots in Long Island. We’re known for our rich heritage, founded in faith, serving the health care needs of our community for more than one hundred years.
We’re known for delivering a quality patient experience that stands apart from other health care systems. We see patients and their families as human beings, with needs that go beyond the prescriptions and procedures. We listen and partner.
At Catholic Health, we’re committed to creating an exceptional experience of comprehensive care by pairing our phenomenal clinical abilities with the emotional support of the home. It’s through this blend of comfort and confidence that we have an innate understanding of our community and deliver peace of mind to those we serve.
This philosophy is backed by doctors, nurses, and medical professionals who are among the best in the country, for cardiology, oncology, orthopedic surgery, neuroscience, women’s health, pediatrics, and senior care.
Catholic Health is a leader in complex care, from minimally invasive solutions to robotic surgery and the pinpoint accuracy of non-invasive stereotactic radiation therapy as well as ambulatory procedures that pre-empt the need for hospitalization.
Beyond our hospitals, nursing homes, and rehabilitation centers, Catholic Health members many hundreds of physician practices across Long Island and regional nursing service, helping you to stay on your personal path to optimal wellness.
It’s easy to see why Catholic Health is the go-to health care system for so many Long Islanders. We’re here for you, body and soul.
Our commitment is well-established, so we decided to shorten our name. Catholic Health Services of Long Island is now Catholic Health.
Offices: 992 N. Village Avenue,, Rockville Centre, NY 11570, US · 100 Port Washington Blvd, Roslyn, New York 11576, US · 1000 Montauk Hwy, West Islip, New York 11795, US · 1000 N Village Ave, Rockville Centre, New York 11571, US · 4295 Hempstead Tpke, Bethpage, New York 11714, US
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