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Title

Patient Account Specialist, PPG 

Location Greater Grand Rapids, Michigan Area  
Full-Time/Part-Time Full-Time  
Shift Various Shifts  
Description

Under the direct supervision of the Support Staff Supervisor, independently performs administrative duties related to billing, collection, accounts payable, accounting, and customer assistance. The following are general characteristics of this job classification. Specific duties and areas of responsibility for this position within each department shall be defined by the department manager or director.

Principal Duties and Responsibilities:

  • Maintain patients' accounts including: verifying patient demographic information is populated, ensuring all guarantors are entered correctly, creating a supervision relationship or patient responsibility if appropriate, completing authorization reports, adding new payer information, verifying benefits, controlling patient balances, and verifying patients are scheduled with a participating provider.
  • Contact insurance companies to obtain preauthorization, resolve outstanding balances, incorrect payments, claim denials or information needed to adjudicate claims. Work with clinical areas to resolve rejections and determine collectability or need for adjustment.
  • Responsible for Medicaid/Medicare reporting. Ensure that patients have necessary agreements on file.
  • Process any failed claims assuring claims meet the clean claim definition to assure timely and accurate payment.
  • Apply patient payments to accounts, monitoring for compliance with contractual agreements to assure appropriate reimbursement for services provided. Prepare and balance bank deposits.
  • Answer patient questions regarding balances, make referrals to other areas as appropriate, i.e. clinical area, Patient Rights, etc. Create and maintain customer-friendly environment with internal and external customers.
  • Establish payment arrangements within established guidelines.
  • Review accounts to determine patient delinquency and initiate collection steps or refer to collection agency.
  • Responsible for the monitoring and careful use of resources impacting them in a moderate capacity (i.e. writing off balances, application of PAF funds, etc.).
  • Responsible for the application of PAF funds and entry of PAF data.
  • Maintain knowledge of payer regulations, contracts and billing requirements and act as a resource to clinical sites regarding these requirements.
  • Offers or delegates administrative support including but not limited to the following tasks: greeting, answering questions based on knowledge, scanning and copying, letters of correspondence, monitoring clinical staff schedules (i.e. referral scheduling, maintaining of cancellation list and coordinating model of care appointments), and front desk duties (i.e. check in/out of patients, answering and triaging patient phone calls, and opening/closing responsibilities).
  • Must maintain annual training and demonstrate competency in the areas of Safety, Infection Control, Patient Rights, and Corporate Compliance. Must complete annual TB skin test.
  • Performs other duties or functions as assigned by supervisor.

 
Position Requirements

Required/Desired Qualifications:

 

Education, Training, and Experience:

  • Work requires the ability to read, understand and follow directions, and do computations at a level typically acquired in high school or equivalent.  An Associate’s Degree or equivalent knowledge, skills, and abilities may be required.
  • Requires minimum experience of one year in related field.
  • Additional eligibility qualifications

 

Specific skills, knowledge, and abilities:

  • A high level of decision-making in order to find solutions to technical problems, to explain & enforce procedures.
  • Strong organizational skills are required to prioritize a variety of job tasks and functions.
  • Proficiency of electronic systems is required perform tasks using data and/or ability to learn systems.
  • Excellent communication skills are needed due to frequent exposure to internal and external customers.
  • Minimal independent decision-making skills needed to resolve occasional non-routine issues.

 

 

Pine Rest is an EOE

 
About the Organization Pine Rest is a nonprofit, free standing, behavioral health system founded in 1910 in Grand Rapids, Michigan. This comprehensive behavioral health center, coupled with the Pine Rest network of 19 outpatient clinics and satellite offices in Michigan and Iowa, provide individualized and group therapy for people of all ages and all levels of need. Pine Rest clinicians offer therapeutic services in behavioral health for people of all ages and all levels of need across the continuum of care within a Christian framework.

Pine Rest has a 200-bed inpatient hospital program with a 36-bed child and adolescent inpatient and a large partial hospital program for adolescents. Additionally, Pine Rest has many inpatient services for adults, including: a 28-bed psychiatric-medical unit in an acute care hospital, four 22-bed adult inpatient units each designed for a different level of acuity, a 22-bed co-occurring substance use disorder adult inpatient unit, a large adult partial hospital program, and a 26-bed older adult inpatient unit.

The Pine Rest Community and Residential Services Division also provides a wide array of services. With over 220 residential beds across a variety of programs, including treatment for substance use disorders, homes for adults with intellectual and developmental disorders, adults with mental illness, and a program for youth aged 11-18 with extensive trauma histories focusing on trauma treatment and life skills programming.

Other campus based services include a forensic psychiatry clinic, a psychological consultation testing center, an attention deficit disorders clinic, an autism spectrum disorders clinic, and a large neuromodulation clinic which provides TMS and ECT services.

The medical staff includes over 70 psychiatrists and other MDs/DOs, more than 120 fully licensed psychologists, more than 250 licensed masters-level social workers, and 30 PAs/NPs.


Pine Rest is an EOE  
Number of Openings 4  
EOE Statement Pine Rest Christian Mental Health Services an equal employment opportunity employer and complies with the following:

RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY, NATIONAL ORIGIN
Executive Order 11246, as amended, prohibits employment discrimination based on race, color, religion, sex, sexual orientation, gender identity, or national origin, and requires affirmative action to ensure equality of opportunity in all aspects of employment.

PAY SECRECY
Executive Order 11246, as amended, protects applicants and employees from discrimination based on inquiring about, disclosing, or discussing their compensation or the compensation of other applicants or employees.

INDIVIDUALS WITH DISABILITIES
Section 503 of the Rehabilitation Act of 1973, as amended, protects qualified individuals with disabilities
from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment. Disability discrimination includes not making reasonable accommodation to the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or employee, barring undue hardship to the employer. Section 503 also requires that Federal contractors take affirmative action to employ and advance in employment qualified individuals with disabilities at all levels of employment, including the executive level.

PROTECTED VETERANS
The Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended, 38 U.S.C. 4212, prohibits
employment discrimination against, and requires affirmative action to recruit, employ, and advance in
employment, disabled veterans, recently separated veterans (i.e., within three years of discharge or release from active duty), active duty wartime or campaign badge veterans, or Armed Forces service medal veterans.
 
Department None Specified 


This position is currently not accepting applications.

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