HOSPITAL PATIENT FINANCIAL COUNSELOR
Patient Account Representative
Responsibilities About UHS: One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in 2019. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom About Rivendell: Rivendell Behavioral Health Hospital is a 149 inpatient, Joint Commission accredited hospital. We are located on a 48 acre private campus in the heart of Bowling Green, KY. At Rivendell Behavioral Health Hospital, children who are in crisis receive psychiatric care. Teens suffering from depression, disabling anxiety, feelings of hopelessness or suicide can learn new ways to cope. Teens and adults suffering from chemical dependency and substance abuse can get help.
Position SummaryResponsible for the accounts receivable data input, financial counseling, and self-pay arrangements. Completes insurance verifications daily.
Major Duties And Responsibilities- Perform all financial functions relating to patient admissions:
- Verify insurance benefits of all insurance admissions daily (Medicaid coverage/eligibility when applicable).
- Coordinate with Utilization Review department to ensure all precertifications are in place on all admissions, and obtain all pertinent data for patient accounting.
- If family is not able to apply for Medicaid the Patient Account Representative will instruct and obtain from guarantors, all information needed to complete application for Medicaid.
- Ensure assignment of insurance benefits, Financial Agreement and other required admission forms (see Admission Policy) are properly signed by guarantor and in place.
- Set up a financial file with all financial class information daily.
- Follow patient through length of stay ensuring that any necessary financial class changes are made properly, and ongoing re-certifications are in place. Notify biller of all financial data changes.
- Communicates with guarantors as needed on first party collections.
- Prints face sheets and sends to physicians billing services each Monday evening for the previous Monday through Sunday admissions. Each face sheet will contain COMPLETE insurance information and admitting diagnosis. Vendor will obtain face sheets on consults at the time services rendered.
- Coordinates patients' outside services with appropriate staff.
- Backs up Business Office Manager on reporting census information to Home Office by 10:00 AM each day.
- Performs Business Office Daily functions in absence of Business Office Manager.
- Any other duties assigned by Supervisor.
- Will adhere to all safety policies and safe work practice.
- Will attend hospital safety trainings.
- Will adhere to all hospital policies and procedures.
- Will report all accidents immediately.
Education: High school graduate Training and Experience: Two years work experience, preferably in health care accounts receivable area. Must be computer literate (Excel and Word). Knowledge Required: Knowledge of third party reimbursement and Medicaid reimbursement, good typing and communication skills.