The Patient Accounts Representative Opportunity:
The Patient Accounts Representative shall be responsible for billing services monthly and monitoring the accounts receivable.
Compensation and Benefits:
- The pay range for this role is $21.47 to $23.37, based on education and experience.
- This job is full-time and in person.
- PTO, paid holidays, health insurance, dental insurance, vision insurance, on-site bistro and cafeteria, employee assistance program, newly updated facility, and more.
- As a full-time employee of NCHC, you would be eligible for the Wisconsin Retirement System (WRS). The WRS is a hybrid defined benefit plan. It contains elements of both a 401(k) or defined contribution plan and a defined benefit plan. Participating staff contribute 6.95% and NCHC will match this at 100% each pay period!
What Qualifies You:
- High School Diploma or equivalent
- One or more years’ experience in health care billing
- Excellent customer service and computer skills
- Associates degree in healthcare business, preferred.
What a Patient Accounts Representative does at NCHC:
- Verify accuracy of billable service data
- Ensure compliance with third party contracts and policies
- Review payments and denials to determine appropriateness from third party payors
- Review billing statements for accuracy and payor requirements
- Ensure self-pay bills reflect maximum amounts that may be billed based on Wisconsin administrative code
- Communicate with clients/responsible party regarding billing and fees charged, and third-party payors and payment requirements, includes written and verbal communication
- Closely monitor all assigned accounts to ensure that all activity affecting that account is requested and recorded in a timely fashion. Also ensure closure is reached within a reasonable time as defined by policy and procedure.
- Make adjustments, transfers, write-offs, and complete appeals when applicable
- Send correspondence
- Ensure timely billing to secondary payors within filing deadlines
- Follow collection procedures to collect on non-payment self-pay accounts
- Follow up with incorrect payments and denials from third party payors including but not limited to resubmission of claims for payment
- Process refunds as necessary
- Submit monthly invoices of other county, group home, inpatient, outpatient, and nursing home, as assigned to client and third-party payors, within established timelines
- Be the contact for the collections agencies and work with them in accordance with facility policies and procedures
- Be the contact with third party payors to ensure payment in a timely fashion
- Process bankruptcy and probate according to established guidelines
- Download Explanation of Benefits on internet for some electronic payments
- Review of daily obituaries online for any clients; send to appropriate areas.
- Maintains regular on-site attendance
About North Central Health Care:
Nestled in the heart of Central Wisconsin, North Central Health Care (NCHC) is a healthcare organization formed over fifty years ago as a partnership between three Central Wisconsin counties - Langlade, Lincoln, and Marathon. NCHC employs approximately 775 professionals in diverse roles across a variety of care and work environments. We provide passionate and high-quality care for individuals and families within the fields of mental health treatment, addiction services, long term care, short term care, physical therapy, crisis stabilization and so much more. We have amazing employees who provide exceptional care and want to add to our team. You can visit our website at www.norcen.org/careers to learn more.
In compliance with the American with Disabilities Act, NCHC will provide reasonable accommodations to qualified individuals and encourages both prospective and current employees to discuss potential accommodations with the employer. North Central Health Care is an Equal Opportunity Employer.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
