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Patient Account Representative
Patient Account RepresentativeAcadia Healthcare • Malden, MA, United States
Patient Account Representative

Patient Account Representative

Acadia Healthcare • Malden, MA, United States
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Overview

Acadia Healthcare is a leading provider of behavioral healthcare services across the United States. Acadia operates a growing network of 250 plus behavioral healthcare facilities with approximately 11,100 beds in 39 states and Puerto Rico. With more than 23,000 employees serving approximately 75,000 patients daily, Acadia is the largest stand-alone behavioral health company in the U.S.

Acadia Healthcare's purpose is to Lead Care With Light and our mission is to be a world-class organization that sets the standard for excellence in the treatment of mental health and addiction concerns. We strive to maintain our standing as a thought leader in the behavioral healthcare industry, providing treatment that is synonymous with compassion and innovation.

Tufts Medicine, a leading integrated academic health system in Massachusetts, and Acadia Healthcare, the largest standalone provider of behavioral health services in the U.S., have partnered to create the Tufts Medicine Behavioral Health Hospital, a state-of-the-art, 144-bed facility in Malden, Massachusetts. Slated to open in early 2026, this hospital is designed to address the growing need for high-quality behavioral health services in the region.

Our Patient Account Representatives are responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections.

Responsibilities

RESPONSIBILITIES

  • Call and status outstanding claims with third party payors.
  • Review claims issues and make corrections as needed and rebill.
  • Utilize claims clearing house to review and correct claims. Resubmit electronically when available.
  • Review explanation of benefits to ascertain that claim processed and paid correctly.
  • Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
  • Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.
  • Prorate patient accounts and monitor that balance due is in the correct financial class.
  • Report an overview of the week to the BOD and participate in AR meetings.
  • Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
  • Assist financial counselors as needed.
  • Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.

Qualifications

EDUCATION / EXPERIENCE / SKILL REQUIREMENTS :

  • High school diploma or equivalent required.
  • Three or more years' prior admissions and or collections experience in a hospital setting required.
  • Psychiatric experience preferred.
  • LICENSES / DESIGNATIONS / CERTIFICATIONS :

  • Not applicable
  • We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

    AHGROW

    #LI-TMBHH

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    Patient Account Representative • Malden, MA, United States

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