Patient Account Representative

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POST DATE 9/13/2016
END DATE 10/13/2016

Foundations Recovery Network BRENTWOOD, TN

AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
High School Diploma or GED


Foundations Recovery Network (FRN) is the premier
provider of integrated treatment for co-occurring
addiction and mental health concerns, offering
residential and outpatient services nationwide. At each
facility, we focus on patient-centered care and an
individualized approach, upholding a high standard of
innovative treatment and compassionate attention to each
patient s needs. We are committed to providing and
promoting evidence-based treatment for individuals with
co-occurring disorders through clinical services,
education, and research. Our purpose is to create
lifetime relationships for long-term recovery.
Everything we do is designed to support recovery in a
comprehensive way, addressing the needs of the whole
person physically, emotionally, mentally, and
spiritually. We provide the foundation; you build the
Foundations headquarters is located just outside of
Nashville, Tennessee, in the beautiful city of
Brentwood. In the corporate office, you will find FRN s
Marketing, Human Resources, Information Technology,
Accounting, Business Office Services, and Admissions
Center. Each department plays its part in the support of
our facilities, so that the attention can be where it
should be: on the patients. Not only does the corporate
office support our facilities, but Foundations is
committed to encouraging and developing its people by
providing a strong community culture and applauding
those with a heart of service.
Foundations Recovery Network is currently seeking a
Patient Account Representative to take charge of the
collection of delinquent patient accounts for a
designated territory. We don t off-shore our
collections because we have one of the best collections
teams in the Nashville area! We are looking for someone
for this role who loves the challenge of collecting on
accounts that were previously considered a lost cause.
We need someone who fully understands the requirements
of third party health insurance policies and how to
handle their individual claims denials process. We need
someone who can confidently and compassionately interact
with our patients and their families in this difficult
time, as they work to break free from addiction.
Do you have a calm demeanor, which allows people to
comfortably speak freely with you? Do you want to be
part of an organization, driven by the goal of helping
people through life-changing recovery? Do you have the
desire to serve as a Brand Ambassador to FRN? If so,
then this just may be the position you ve been looking
for! This position will be located at Foundations
Recovery Network s Corporate Office, located in
Brentwood, Tennessee.
Essential Duties and Responsibilities
Reviews EOB for proper reimbursement
Monitors contracts and single patient agreements to
ensure appropriate reimbursement is received
Ensures timely filing requirements are met and claims
are followed-up on in a timely and appropriate manner,
to eliminate timely filing denials and non-payment of
Responsible for any special projects related to
obtaining appropriate and timely reimbursement of claims
Reviews and researches insurance correspondence and
makes necessary corrections to ensure claims payment
Follows-up on denials in a timely manner and
proactively communicates any denial issues related to
billing requirements
Follows-up on unpaid/unresolved account balances on a
daily basis and notates follow-up response on patient
Completes re-bill request as necessary to facilitate
timely and proper claims payment
Performs various collection actions, including
contacting third party payers or patients by phone and
resubmission of claims for appeal process
Evaluates patient financial status and establishes
budget plans
Answers inquiries and correspondence from patients and
insurance companies to facilitate payment
Identifies and resolves patient billing complaints
Performs other duties as required or assigned
Knowledge, Skills, and Abilities
Demonstrates knowledge of patient account policies
Understands billing requirements for contracted and
commercial payers
Understands commercial compliance regulations related
to healthcare billing and accounts receivable management
and where to locate the regulations
Demonstrates understanding of both UB04 claim form and
CMS 1500 claim form
Knowledge of medical billing/collection practices
Knowledge of basic medical coding and third-party
operating procedures and practices
Demonstrates ability to work effectively with and
interact with patients and co-workers in a professional,
caring, and courteous manner that adheres to FRN s
Mission and Statement of Values
Understands and maintains confidentiality at all times
Must be proficient in Microsoft Word and Excel
Strong mathematical acumen required
Education and Experience
High School diploma or GED required
Minimum of 2 years medical collection experience
Experience with paper and electronic claims filing
If you meet the above requirements and are looking for a
rewarding career, please take a moment to share your
background and experience with us by applying online.
FRN offers competitive compensation, commensurate with
experience, and benefits programs including medical,
dental, life insurance, and 401K.
FRN is not accepting unsolicited assistance from search
firms for this employment opportunity. Please, no phone
calls or emails. All resumes submitted by search firms
to any employee at FRN via email, the Internet, or in
any form and/or method without a valid written search
agreement in place for this position will be deemed the
sole property of FRN. No fee will be paid in the event
the candidate is hired by FRN as a result of the
referral or through other means.