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Patient Account Representative

Universal Health Services

Job Code:
Universal Health Services
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Job Details

Patient Account Representative

Job Code:  242715
Facility: Foundations Recovery Network
Travel Involved: None
Job Type: Full Time
Job Level: 
Minimum Education Required: High School or equivalent 
Category: Office/Clerical
FTE: 1
Position Summary:
Foundations Recovery Network (FRN) is the premier provider of integrated treatment for co-occurring addiction and mental health concerns, offering residential and outpatient services nationwide. At each facility, we focus on patient-centered care and an individualized approach, upholding a high standard of innovative treatment and compassionate attention to each patient’s needs. We are committed to providing and promoting evidence-based treatment for individuals with co-occurring disorders through clinical services, education, and research. Our purpose is to create lifetime relationships for long-term recovery. Everything we do is designed to support recovery in a comprehensive way, addressing the needs of the whole person—physically, emotionally, mentally, and spiritually. We provide the foundation; you build the life.

Foundations headquarters is located just outside of Nashville, Tennessee, in the beautiful city of Brentwood. In the corporate office, you will find FRN’s Marketing, Human Resources, Information Technology, Accounting, Business Office Services, and Admissions Center. Each department plays its part in the support of our facilities, so that the attention can be where it should be: on the patients. Not only does the corporate office support our facilities, but Foundations is committed to encouraging and developing its people by providing a strong community culture and applauding those with a heart of service.

Foundations Recovery Network is currently seeking a Patient Account Representative to take charge of the collection of delinquent patient accounts for a designated territory. We don’t “off-shore” our collections because we have one of the best collections teams in the Nashville area! We are looking for someone for this role who loves the challenge of collecting on accounts that were previously considered a lost cause. We need someone who fully understands the requirements of third party health insurance policies and how to handle their individual claims denials process. We need someone who can confidently and compassionately interact with our patients and their families in this difficult time, as they work to break free from addiction.

Do you have a calm demeanor, which allows people to comfortably speak freely with you? Do you want to be part of an organization, driven by the goal of helping people through life-changing recovery? Do you have the desire to serve as a Brand Ambassador to FRN? If so, then this just may be the position you’ve been looking for! This position will be located at Foundations Recovery Network’s Corporate Office, located in Brentwood, Tennessee.

Essential Duties and Responsibilities
• Reviews EOB for proper reimbursement
• Monitors contracts and single patient agreements to ensure appropriate reimbursement is received
• Ensures timely filing requirements are met and claims are followed-up on in a timely and appropriate manner, to eliminate timely filing denials and non-payment of claims
• Responsible for any special projects related to obtaining appropriate and timely reimbursement of claims outstanding
• Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment
• Follows-up on denials in a timely manner and proactively communicates any denial issues related to billing requirements
• Follows-up on unpaid/unresolved account balances on a daily basis and notates follow-up response on patient accounts
• Completes re-bill request as necessary to facilitate timely and proper claims payment
• Performs various collection actions, including contacting third party payers or patients by phone and resubmission of claims for appeal process
• Evaluates patient financial status and establishes budget plans
• Answers inquiries and correspondence from patients and insurance companies to facilitate payment
• Identifies and resolves patient billing complaints
• Performs other duties as required or assigned

Knowledge, Skills, and Abilities
• Demonstrates knowledge of patient account policies
• Understands billing requirements for contracted and commercial payers
• Understands commercial compliance regulations related to healthcare billing and accounts receivable management and where to locate the regulations
• Demonstrates understanding of both UB04 claim form and CMS 1500 claim form
• Knowledge of medical billing/collection practices
• Knowledge of basic medical coding and third-party operating procedures and practices
• Demonstrates ability to work effectively with and interact with patients and co-workers in a professional, caring, and courteous manner that adheres to FRN’s Mission and Statement of Values
• Understands and maintains confidentiality at all times
• Must be proficient in Microsoft Word and Excel
• Strong mathematical acumen required

Education and Experience
• High School diploma or GED required
• Minimum of 2 years’ medical collection experience
• Experience with paper and electronic claims filing

If you meet the above requirements and are looking for a rewarding career, please take a moment to share your background and experience with us by applying online. FRN offers competitive compensation, commensurate with experience, and benefits programs including medical, dental, life insurance, and 401K.

FRN is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at FRN via email, the Internet, or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of FRN. No fee will be paid in the event the candidate is hired by FRN as a result of the referral or through other means.


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