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JOB SUMMARY: The Patient Accounts Representative is primarily responsible for the management and oversight of prior authorization completion for all insurances within all of the BHS programs, reviewing and correction of billing reports to ensure maximum collection.
ESSENTIAL FUNTIONS:
Tracking and process of all prior authorizations for activity required by insurances in order to be paid.
Manage financial reviews.
Review patient accounts to identify delinquent and due accounts.
Investigate and troubleshoot suspense or delinquency issues to ensure timely payment.
Conduct internal petty cash audits in the BHS program.
Support Office Manager and Business Manager in report running and staff training as needed.
Complete Documentation and Tracking for the Food Program including:
Making sure Eligibility Applications are up to date/ Monthly and Annually (along with Vocational Specialist)
Setting up the Attendance Tracking Form
Maintaining the Eligibility Record
Completing the Demographic Form
Being the “Determining Official” on the front of the Food Eligibility form and meal count form as well as signing off. Verifying whether or not a consumer has Medicaid and if not, indicating their income and financial responsibility for meals.
Code and process bills for BHS programs.
SUPERVISORY REQUIREMENTS: none
PRODUCTIVITY REQUIREMENTS:
Track and process all prior authorizations, working with staff to ensure timely submission 95%
Code and forward BHS bills to Accounts Payable within 5 days of receipt -95%