Organization Overview, Mission, Vision, and Values

Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas in the heart of Fayetteville, which is consistently ranked among the Best Places to live in the country. Our 425-bed medical center has been named the #1 hospital in Arkansas for four consecutive years by U.S. News & World Report. We employ 3,400+ team members and serve the region with over 45 clinic locations, the area’s only Level II trauma center, and five Centers of Excellence - the Washington Regional J.B. Hunt Transport Services Neuroscience Institute; Washington Regional Walker Heart Institute; Washington Regional Women and Infants Center; Washington Regional Total Joint Center; and Washington Regional Pat Walker Center for Seniors.

Position Summary

The role of the Patient Account Representative reports to the Assistant Office Manager and Office Manager. This position is responsible for reviewing patient accounts to ensure proper billing procedures are maintained.

Essential Position Responsibilities

• Prepare accounts for billing including collecting necessary demographic information and ensure accuracy in data entry
• Contact insurance companies to verify eligibility and benefits, medical necessity, and obtain pre-authorization, as appropriate
• Establish payment arrangements with guarantor and collect co-payments and/or past due balances
• Prepare and provide self-pay quotes, as appropriate
• Receive and verify explanation of benefits received from insurance companies and post payments to accounts accordingly
• Review denied claims and complete appeal process
• Prepare reports requested by management as needed
• Assist patient with determining eligibility for Medicaid
• Scan and maintain medical records
• Assist with processing and sorting incoming and outgoing correspondence

Qualifications

• Education: High School Diploma or GED
• Licensure and Certifications: N/A
• Experience: Previous experience with medical terminology and insurance verification processes, preferred.

Work Environment: This position will spend 60% of time sitting while performing work in a standard office environment and 40% of time standing and/or walking while pushing, pulling, lifting, and/or carrying up to 50 lbs.