ST. CHARLES HEALTH SYSTEM
TITLE: Account Representative
REPORTS TO POSITION: Support Services Supervisor
DEPARTMENT: Hospice and Home Health
DATE LAST REVIEWED: January 16, 2020
OUR VISION: Creating America's healthiest community,
OUR MISSION: In the spirit of love and compassion, better
health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENTAL SUMMARY: The Home Health department provides
regional, skilled, medical services to patients that are unable to
leave their homes to access medical care. Services include skilled
nursing, physical therapy, occupational therapy, speech therapy,
medical social work, aide, and phlebotomy.
The Hospice Department provides end of life care services to
patients and their families. Hospice addresses the physical,
emotional, mental and spiritual needs of patient and family from
admission through bereavement, utilizing an interdisciplinary
approach to care that includes physicians, registered nurses,
chaplains, aide's, social workers, volunteers and counselors.
POSITION OVERVIEW: The Account Representative performs all of
the functions related to billing and obtaining full reimbursement
for Hospice, Home Health and Lifeline accounts. This position does
not directly manage any other caregivers
ESSENTIAL FUNCTIONS AND DUTIES:
Work flow, reporting and tracking are managed through multiple
designated work queues in the EHR system
Overall office operations and information systems
Verifies Medicare eligibility.
Responsible for monitoring and working EPIC Billing WQ's to meet
Claims processing for accurate, timely submission.
Confirms claim and billing accuracy in multiple designated work
queues and processes for payment.
Monitors and tracks Medicare ADR's and denials, notifying
leadership of needed action within established timeframes.
Prepares and submits bi-weekly and month end statistical reports
and denials within established timeframes.
Collection of accounts. Receives checks, prepares and posts
payments, provides deposit and deposit information according to
hospital work instruction.
Proactive in tracking and managing past due accounts in
designated work queue, minimizing aging AR
Maintains awareness of account status and updates
Provides excellent customer service when responding to insurance
and billing inquiries.
Monitors and pursues past due account, minimizing aging AR.
Lifeline: Responsible for checking Medicaid eligibility, billing
and posting payments.
Supports the vision, mission and values of the organization in
Supports Value Improvement Practice (VIP- Lean) principles of
continuous improvement with energy and enthusiasm, functioning as a
champion of change.
Provides and maintains a safe environment for caregivers,
patients and guests.
Conducts all activities with the highest standards of
professionalism and confidentiality. Complies with all applicable
laws, regulations, policies and procedures, supporting the
organization's corporate integrity efforts by acting in an ethical
and appropriate manner, reporting known or suspected violation of
applicable rules, and cooperating fully with all organizational
investigations and proceedings.
Delivers customer service and/or patient care in a manner that
promotes goodwill, is timely, efficient and accurate.
May perform additional duties of similar complexity within the
organization, as required or assigned.
Required: High school diploma or GED
Preferred: College courses with office or clerical
Required: Valid Oregon driver's license and ability to meet St.
Charles Health System driving requirements
Required: Minimum two years in data processing, accounting or
health care clerical work. Administrative and/or general medical
office work with phone skills and computer experience. Thorough
knowledge of medical terminology.
Preferred: Knowledge of Hospice/Home Health care and community
PERSONAL PROTECTIVE EQUIPMENT
Must be able to wear appropriate Personal Protective Equipment
(PPE) required to perform the job safely.
ADDITIONAL POSITION INFORMATION:
Demonstrates St. Charles Health System values of Accountability,
Caring and Teamwork in every interaction.
Must have excellent communication skills and ability to interact
with a diverse population and professionally represent St. Charles
Ability to effectively interact and communicate with all levels
within St. Charles Health System and external
Strong team working and collaborative skills.
Ability to effectively reach consensus with a diverse population
with differing needs.
Ability to manage facilitation and consensus building among
health care professionals and agencies and achieve expected
Ability to work under pressure in a fast-paced environment.
Ability to multi-task and work independently.
Attention to detail.
Excellent organizational skills, written and oral communication
and customer service skills, particularly in dealing with stressful
Strong analytical, problem solving and decision making
Excellent organizational and multi-tasking skills.
Performs basic math (add, subtract, multiply and divide)
Read, write, speak and understand English.
Basic to intermediate ability and experience in computer
applications, specifically electronic medical records system and MS
Basic experience in computer applications necessary to record
time, obtain work directions, and complete assigned CBL's.
Continually (75% or More): Use of clear and audible speaking
voice and the ability to hear normal speech levels.
Frequently (51% - 75%): Standing, sitting, walking, lifting 1-10
lbs and keyboard operation.
Occasionally (26% - 50%): Bending, climbing stairs, reaching
overhead, carrying 1-10 lbs, pushing/pulling 1-10 lbs and
Rarely (10% - 25%): Stoop/kneel/crouch, lifting 11-25 lbs,
carrying 11-25 lbs, pushing/pulling 11-25 lbs and operation of
Never (Not Included): Climbing ladder/step-stool, lifting 25-50
lbs, carrying 25-50 lbs, pushing/pulling 25-50 lbs and the ability
to hear whispered speech levels.
Exposure to Elemental Factors
Frequently (51%-75%): Heat, cold, wet/slippery areas, noise,
dust, vibration and uneven surfaces.
Never (0%): Chemical solutions.
Blood-Borne Pathogen (BBP) Exposure Category
No Risk for Exposure to BBP
Schedule Weekly Hours:
Is Exempt Position?
Scheduled Days of the Week:
Shift Start & End Time: