Job description

The ideal candidate will be available for PRN work from 8AM-5PM Monday through Friday,

Hourly Range: $23.00-$27.00 DOE

Pacific Grove Hospital, is a nationally recognized 68 bed acute psychiatric and chemical dependency treatment center offering inpatient & outpatient services for psychiatric illnesses, addictions & co-occurring disorders. Our hospital offers comprehensive training, dynamic leadership, and personalized support so you can achieve your greatest potential.

Patient Responsibilities include:

Call and status outstanding claims with third party payors.
Review claims issues and make corrections as needed and rebill.
Utilize claims clearing house to review and correct claims. Resubmit electronically when available.
Review explanation of benefits to ascertain that claim processed and paid correctly.
Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.
Prorate patient accounts and monitor that balance due is in the correct financial class.
Report an overview of the week to the BOD and participate in AR meetings.
Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
Assist financial counselors as needed.
Alert Financial Counselors and Business Office Director/Manager of all benefit eligibility matters that suggest or challenge reimbursement.

OTHER FUNCTIONS:

Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

High school diploma or equivalent required.
Three or more years’ prior admissions and or collections experience in a hospital setting required.
Psychiatric experience preferred.
Experience with insurance verifications required.

LICENSES/DESIGNATIONS/CERTIFICATIONS: