Patient Account Rep

Scotland Memorial Hospital
  • Laurinburg, North Carolina
  • Autofill and Review
30+ days ago

Job Description

Department:

Scotland Memorial Hospital - Patient Financial Services

Status:

Full time

Shift:

1st (United States of America)

Schedule Details/Additional Information:

M-F 8-5

Job Description:

1.Examines denied and underpaid claims to determine reasons for discrepancies2.Provide payers with specific reasons for the suspected underpayments and analyzes denial reasons given by payers3.Works with management to identify, trend and address root causes of denials; helps pinpoint strategies for reducing AR.4.Maintains a thorough knowledge and understanding of federal and state regulations, as well as specific payer requirements and explanation of benefits, in order to identify and report billing compliance issues and payer discrepancies5.Updates and maintains accurate files on each payer including contact names, addresses, phone numbers, web sites and other pertinent information thoroughly documents all interactions with payers6.Effectively handles all communication, including telephone and email from payers and departments within Revenue Cycle7.Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with manager and tracking progress (attends huddles)8.Demonstrates initiative and resourcefulness by making recommendation and communicating trends and issues to management9.Crossed trained in other areas within Patient Accounts10.Begin HBI Revenue Cycle classes11.Understands and maintains compliance with HIPAA guidelines when handling patient information12.Performs other duties as assigned

Careers

At Scotland Health Care System, we’re proud to employ a team of dedicated professionals who embody the Scotland Way.

Founded in 1946, Scotland Health Care System is a community-owned, not-for-profit organization serving Laurinburg, North Carolina. Our mission is simple yet powerful: to deliver safe, high-quality, compassionate, and sustainable health care to everyone in need.

We offer a full spectrum of services—including inpatient, outpatient, and emergency care—along with specialized programs in cancer treatment, cardiac care, surgical services, and women’s health.

Our culture is built on caring—for our patients and for our people. We believe that when we take exceptional care of our employees, they can provide exceptional care to our communities. That’s why we offer:

  • Competitive compensation

  • Family-friendly benefits including Paid Parental Leave and On-Site Childcare

  • Flexible scheduling

  • Exclusive savings programs

  • Career growth and advancement opportunities

If you’re looking for more than just a job—if you want a meaningful career where you can make a difference—Scotland Health Care System is the place for you. Join our team today!

Numbers & Facts

LocationLaurinburg, North Carolina

Skills

  • Accounts Receivable Managementunmatched
  • Analysis Skillsunmatched
  • Billingunmatched
  • Cancerunmatched
  • Cardiologyunmatched
  • Communication Skillsunmatched
  • Emergency Careunmatched
  • Federal Laws and Regulationsunmatched
  • File Maintenanceunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Healthcareunmatched
  • Insurance Documentationunmatched
  • Maintain Complianceunmatched
  • Medical Recordsunmatched
  • Nonprofitunmatched
  • Outpatient Careunmatched
  • Patient Careunmatched
  • Project Trackingunmatched
  • Quality Managementunmatched
  • Set Goalsunmatched
  • State Laws and Regulationsunmatched
  • Surgical Proceduresunmatched
  • Trend Analysisunmatched

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