Patient Accounts Representative, Full-Time, Day shift

Come work with an award winning team! Thanks to the readers of The Daily Freeman-Journal, VDMC was named Best Place to Work in 2023 and 2024. Van Diest Medical Center has also been recognized as a 2025 Top 100 Critical Access Hospital by The Chartis Center for Rural Health. Chartis’ annual Top 100 award program recognizes outstanding performance among the nation’s rural hospitals based on the results of the Chartis Rural Hospital Performance INDEX®. This marks the second year for VDMC’s inclusion on the Top 100 Critical Access Hospitals.  VDMC is one of only 12 hospitals in the state of Iowa to achieve this designation.  Nationwide, there are 1,366 critical access hospitals. Additionally, Van Diest Medical Center (VDMC) has also been named a 2024 Top Workplaces INDUSTRY winner. Top Workplaces Industry awards celebrate organizations that have built people-first workplace cultures within their sector. The award marks them as an employer of choice for those seeking employment in the industry. Details about how Van Diest Medical Center builds a great workplace culture are available at https://topworkplaces.com/company/van-diest-medical-center/

The Patient Account Representative: performs all aspects of the insurance claims processing and account follow up related to patient billing.

1. Abides by the Standards of Conduct.
2. Follows all infection control, safety and general hospital policies and submits all follow up paperwork to human resources, employee health and all other departments as requested in the time allowed.
3. Completes all required competencies
4. Files insurance claims timely, accurately, and appropriately.           
   1. Reviews accounts and ensures the accuracy and completeness of all claims.
   2. Review daily reports on Inovalon Claims Administrator.
   3. Review Work Queues daily.
   4. Reviews late chare reports and files necessary adjustments.
   5. Review report for accounts that need to be linked.
   6. Downloads and transmits electronic claims daily.
   7. Submits paper claim only when unable to send electronically. 
5. Follows up Insurance claims within an appropriate time period.
   1. Responds to denials and correspondence daily.
   2. Works accounts in Work Queues and reviews ATB reports daily, contacts patients or insurance companies and refiles claims when necessary.
   3. Contacts Financial Counselor to reset statement sequence and to consolidate accounts.
   4. Refers accounts to the supervisor when there are issues you can not resolve.
6. Participates in all quality assurance activities, documentation, data collection and other training as requested.
7. Assists patients with account questions.
8. Accepts patient payments and provides proper receipts and documentation for cash.
9. Refers disruptive persons to the Patient Accounts Manager.
10. Meets all intellectual and emotional requirements.
    1. Demonstrates ability to make generalization, evaluations or decisions based on sensory or judgmental criteria.
    2. Demonstrates ability to make generalizations, evaluations or decisions based on measurable or verifiable criteria
    3. Accepts responsibility for the direction, control, or planning of an activity by completing assignments within the given time.
    4. Demonstrates the ability to perform repetitive work or perform continuously the same work, according to set procedures, sequence or pace.
    5. Can maintain proper perspective between personal and professional affairs.
11. Answers the telephone professionally, courteously and efficiently directs call to the appropriate person.
12. Utilizes computer hardware and software or other computer based equipment in performing most essential functions of the job.
13. Works to maximize office efficiency
14. Maintains organized and neat work area.      
15. Maintains current level of knowledge and skill related to education, tools equipment.
16. Participates on various Hospital committees, when assigned and completes assignments within given time.
17. Perform other duties as assigned.

Position is full-time at 40 hours per week, Monday - Friday. 

Wage commensurate with experience.