Department Spotlight: Business Office

 
From left to right: Daria Morgan, Sondra Williams, Danielle Smith, Dolores Azard, Paula Guidroz, Sandra Pourciau, and Mary Johnson.

From left to right: Daria Morgan, Sondra Williams, Danielle Smith, Dolores Azard, Paula Guidroz, Sandra Pourciau, and Mary Johnson.

 

The Business Office Department at Pointe Coupee General Hospital consists of a team of seven individuals whose main goal is to ensure accurate and timely billing of patient's accounts. There are three highly trained and knowledgeable medical billers that bill insurance claims to ensure that all patient claims are being satisfied by their insurance carrier. There are numerous insurance companies that PCGH files claims with, however, the major groups are Medicare, Bayou Health Plan/Medicaid, Blue Cross Blue Shield, Humana, United Healthcare, Aetna, Worker's Compensation and several Medicare Advantage Plans.

Medical billing is a complex series of procedures that require a great deal of time and follow up by trained medical billing personnel. Medical billing is vital to PCGH; without payments from insurance companies a healthcare facility is unable to operate. The Business Office works closely with many clinical departments in an effort to generate and issue a patient's bill with accurate and precise information; otherwise the claim would be denied resulting in no payment. A very important part of our department's daily routine is communicating with patients who are having insurance issues, and this involves excessive follow up on many patient accounts.

The Business Office also handles all collection of funds for the entire hospital. All payments received either through the mail or through the cashier office are updated, balanced, and deposited by the Business Office.

PCGH offers a program for patients who are unable to obtain insurance. The program is referred to as Pointe Coupee Charity Care. The requirements are based on an individual's income being below the national poverty level, the patient must live in Pointe Coupee Parish, and the patient cannot have any type of insurance in order to qualify. Please feel free to visit the Business Office for future information on this program.

The Business Office staff are available Monday through Friday, from 8:00 AM until 4:30 PM.

PCGH