BWH Senior Patient Account Representative
Job Details
BWH-Bournewood Hospital Brookline - Brookline, MA
Full Time
High School Diploma or GED
Local Travel
Health Care
Senior Patient Account Representative

BWH Senior Patient Account Representatives

Description:  Excellent opportunity for an experienced person to bill and collect.  You will verify insurance coverage; process manual and electronic claims submissions, process insurance and self-pay receivables, establish budget plans, resolve insurance authorization and patient inquiries; maintain patient account files, billing statements and collection activity records. Maintain working relationships with Utilization Review and Admissions Departments.

Salary: Negotiable

Start Date: December 1, 2020

Openings:  Monday through Friday business hours -  full time

Qualifications: High School diploma or equivalent is required; a 4 year degree in business is preferred.  Previous experience working in a healthcare billing environment is preferred.   You should have strong interpersonal, communication and organizational skills, and you should be proficient in computer Microsoft Office applications.

Bournewood Health Systems is dedicated to providing quality, evidence-based and person-centered treatment for people with mental health and substance use conditions in a safe and respectful environment in partnership with the individuals and families we serve, focusing on support, hope and recovery.

Bournewood is committed to a philosophy and an environment of care in which we treat people with dignity, respect and mutuality; protect their rights; provide the best care possible; support them in returning to their natural communities; and include patients and families as partners in their treatment. Our philosophy stands for providing a safe and therapeutic environment for patients, families and staff in which restraint and seclusion are prevented through the use of a range of resources and tools. All Bournewood employees are educated in and support this philosophy. All candidates must be able and willing to promote the values of trauma-informed and patient-centered care. 

Location: Dedham,  MA

Job Description

Essential Functions:

  • Reviews all new admissions daily to verify insurance coverage for services. Meets with patients and their families as necessary to identify, discuss, and coordinate payment of their related financial liability. Assists families with Mass Health applications as appropriate.
  • Processes manual and electronic claims submissions weekly consistent with established internal billing procedures, and in compliance with electronic billing requirements.
  • Responsible for overseeing self-pay receivables and related payments for the Hospital. Establishes budget plans with patients and their families consistent with established guidelines and policies.
  • Handles patient and insurance inquiries associated with specific patient accounts. Identifies and resolves billing and authorization discrepancies.
  • Accurately computes and posts contractual allowances at time of billing based upon current contracts. Ensures account balance reasonableness through monthly contractual allowance review.
  • Reviews accounts receivable reports weekly for account follow-up. Documents all follow-up activities pertaining to each specific account in the patient file and electronically in the hospital billing system. Maintains effective accounts receivable monitoring system for ongoing follow-up of aged accounts.
  • Functions as a team leader for the Patient Accounting department in the absence of the Director.
  • Routinely reviews billing procedure manuals as necessary to ensure they are updated and complete.
  • Maintains patient account files with billing statements and collections activity records in an organized manner.
  • Effectively communicates potential problem accounts to Director of Patient Accounting and suggests corrective action.
  • Effectively communicates system problems (Eclipsys, WebMD etc.) to Director of Patient Accounting and suggests corrective action.
  • BCA refunds.
  • Accepts special projects, assignments and instructions in a professional manner, and sees them through to completion of identified goals.
  • Performs tasks conscientiously and thoroughly while adhering to established goals and objectives.
  • Responsible to train and cross train all patient accounts staff as directed by the Director of Patient Accounting.
  • Any other duties as assigned by the Director of Patient Accounting.

Essential Competencies:

Thorough knowledge and understanding of healthcare billing and collection in an automated environment. Performs job responsibilities consistent with established policies and procedures.

  • Ability to multi-task and adjust to frequent priority changes efficiently and effectively.
  • Strong organizational and analytical abilities, as well as strong interpersonal and communication skills.
  • Must be detail oriented.