Patient Accounts Representative I

Role Summary

As a Patient Accounts Representative I at Howard University Hospital, you will play a key role in the equitable resolution of your assigned account inventory. You will carry out revenue computations to bill for services rendered; perform third-party and patient billing and follow-up actions consistent with payor and hospital criteria; analyze and reconcile reimbursements; and process revenue, payment, and adjustment transactions toward the resolution of accounts within your assigned inventory.

What You'll Do

• Enter and update patient, insurance, contract, revenue, and reimbursement data across one or more applications.
• Review claims with incorrect or missing patient data, and correct or add account information to submit accurate, timely claims.
• Review reimbursement against payor contractual and agreement terms before performing adjustments or billing patient responsibility.
• Prepare and maintain supporting data and documentation for all required activities within the hospital system, as defined by departmental guidelines.
• Review and resolve credit balances accurately, monitoring and reporting out-of-the-ordinary circumstances to your supervisor for investigation.
• Respond promptly to internal and external phone calls, correspondence, and inquiries related to patient accounts.

Required Qualifications

• High School Diploma or General Equivalency Diploma (G.E.D.)
• Three (3) years of experience in billing, collections, customer service, or cash posting
• Knowledge of standard hospital organizational structure and the roles departments play in day-to-day operations
• Consistently demonstrated ability to produce accurate Medicare, Medicaid, MCO/HMO, and commercial payer claims that yield substantiated reimbursements
• Ability to adapt to hospital systems and online third-party payor resources
• Ability to exercise judgment, decisiveness, and creativity in situations involving a variety of pre-defined duties that are often characterized by frequent change; ability to work independently and manage time effectively
• Ability to assemble, analyze, comprehend, copy, record, and/or transcribe data and information according to universal practices
• Ability to start, stop, operate, and monitor the functioning of information systems, equipment, machinery, tools, and materials used in performing essential functions
• Ability to work in a collaborative environment and think critically; demonstrated flexibility, organization, and problem-solving skills
• Proficiency in Microsoft Office programs, including but not limited to Outlook, Excel, Word, and PowerPoint
• Basic computer and math skills; self-motivated and detail-oriented

Preferred Qualifications

• Experience in a hospital setting
• Certified Revenue Cycle Specialist (CRCS-I, AAHAM) or Certified Patient Account Representative (CPAR, HFMA) certification

About Howard University Hospital

Founded in 1862 as Freedmen’s Hospital, Howard University Hospital has served the Washington, DC community for over 150 years and holds a distinguished place in American healthcare history. As the nation’s only teaching hospital located on the campus of a Historically Black University, HUH is a DC Level 1 Trauma Center dedicated to providing high-quality, patient-centered, and culturally responsive care to all. Our mission extends beyond treatment — we are committed to training the next generation of healthcare professionals and advancing health equity in our community and beyond.

When you join HUH, you become part of a mission-driven institution with deep roots in equity, service, and excellence — where making a difference in someone’s life is not just a goal, it’s what we do every day.

What We Offer

• Work-life balance
• Recognition and rewards for professional expertise
• Competitive, comprehensive benefit plans including health, disability, vacation, sick leave, and 403(b) retirement plan
• Tuition remission at Howard University for you and/or eligible dependent children — up to two (2) courses per semester
• A mission-driven environment rooted in over 150 years of excellence, service, and advocacy for the communities we serve

Position Details

Department

Patient Accounts

Reports To

Manager, Patient Accounts

FLSA Status

Non-Exempt

Bargaining Unit

Local 2094

Schedule

Full-Time | Monday – Friday, 8:00 AM – 4:30 PM

Weekend Requirement

As needed

Pay & Schedule

This is a full-time, non-exempt position covered under the Local 2094 collective bargaining agreement. Pay range: $19.47 – $31.16/hr, in accordance with the applicable CBA wage schedule and based on experience and qualifications.

Compliance Statements

Culture of Care: Howard University Hospital supports a Just Culture that promotes accountability, learning, and patient safety.

Equal Opportunity Employer: Howard University Hospital is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other status protected by applicable law.

Reasonable Accommodation: Howard University Hospital is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state and local laws. If you require an accommodation during the application or interview process, please contact the Human Resources Department at View email address on j.brt.mv.

Pay Transparency: Salary ranges listed in job postings reflect the expected compensation range for the position and are provided in accordance with applicable pay transparency laws. Final compensation is determined based on experience, education, and other relevant factors.

Disclaimer: The above statements describe the general nature and level of work performed. They are not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position.