Southeast Georgia Health System
Patient Accounts Representative
Patient Financial Services
Summary: (Summarize primary purpose of job function)
Works assigned unit or duty as defined in policies and procedures. Monitors the status of outstanding accounts within assigned unit or duty. Prepares and maintains billing, collection, and reimbursement related records. Receives and processes correspondence and phone inquiries from patients, payors, and attorneys in a timely manner. Processes required transactions needed to resolve accounts in a timely manner. Reports problem areas to supervisor for assistance. All team members= of Southeast Georgia Health System will promote a culture of safety, follow established policies, and adhere to all state and federal regulatory requirements, Joint Commission requirements, and national patient safety standards.
Service Excellence: All team members of Southeast Georgia Health System will promote service excellence by developing and maintaining positive relationships with customers, other team members, and the medical staff and will ensure the highest quality of care by performing their responsibilities according to the highest professional standards.
Patient Accounts Supervisor
Works assigned unit or duty as defined in policies and procedures set forth in the department which includes: working unit and/or reports in a timely and effective manner while maintaining the integrity of patient accounts. Reports any problem areas to supervisor for instruction.
Contacts third party payor organizations or patients as necessary to facilitate timely payments or other required transactions that could result in a completed account cycle.
Assists others when needed in order to maintain integrity of accounts receivable as a whole.
Makes suggestions that will possibly improve efficiency in day to day operations and adapts to changes that will positively affect day to day operations.
Ensures that to the best of his or her knowledge, follows all federal guidelines set forth by government payors and maintains patient confidentiality. Actively participates in compliance with JCAHO standards both departmentally and organization wide.
Receives and answers inquiries from patients, insurance companies, and other parties regarding charges and/or billing discrepancies in an effective and professional manner.
Is motivated to keep abreast of managed care and contractual arrangements in order to better comprehend the processing of accounts by third party payors.
High School Graduate or equivalent.
Two years clerical in a business office or similar environment
Certified preferred - Certified Patient Accounts Representative (CPAR)
Ability to operate office equipment including computer applications
____ Infants 1 day to 3 years ____ Children 3 to 12 years ____ Adolescents 12 to 15 years
____ Adults of 16 to 70 years ____ Elderly Adults, including frail elderly, > 70 years
____ Not applicable to job function.
Physical and Mental Demand: (See Back of Page)
This description of job responsibilities is intended to reflect the major responsibilities and duties of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time.
Southeast Georgia Health System
Essential Physical and Mental Requirements
Continuous Over 70%
40% - 69%