Patient Account Representative II

Description

The Patient Accounts Representative II is responsible for performing duties related to patient account collections, billing inquiries, account follow-up, and payment processing. Communicates with patients, customers, insurance companies, outside agencies, and other parties in person and by telephone to resolve billing questions, account concerns, and payment issues. Maintains accurate patient account records, processes adjustments and refunds, follows up on unpaid and unapplied accounts, and assists with various Business Office functions and special projects. Operates a personal computer, calculator, and other office equipment as required. Follows all established hospital policies, procedures, and applicable regulations.
Duties and Responsibilities

1. Assist patients with billing, account, and insurance inquiries.
2. Perform follow-up procedures on unpaid patient accounts.
3. Assist with over-the-counter patient collections and payment processing.
4. Prepare adjustments and refunds for patient accounts in accordance with established procedures.
5. Assist coworkers with meeting deadlines and achieving departmental goals.
6. Communicate with outside agencies to ensure required information is received, reviewed, and updated in a timely manner.
7. Complete outside billing and medical record requests as required.
8. Perform basic data entry and maintain accurate account information.
9. Contact insurance companies to obtain required information and assist with resolving account issues.
10. Follow up on unapplied cash accounts and assist with appropriate account reconciliation.
11. Maintain accurate records and documentation related to patient accounts and collection activities.
12. Assist with special projects and other Business Office activities as assigned.
13. Sort, organize, and file documents and records as required.
14. Perform all other duties and responsibilities as assigned.

Requirements

• High school diploma or GED required.
• One to two years of relevant experience with an understanding of basic bookkeeping procedures preferred.
• Basic knowledge of Microsoft Excel and general computer functionality required.
• Basic understanding of insurance remittances, payments, denials, and related billing processes.
• Basic knowledge of Medicare, Medicaid, insurance regulations, and healthcare business office procedures preferred.
• Ability to multitask, prioritize responsibilities, and work effectively under time constraints.
• Ability to meet deadlines while maintaining accuracy and attention to detail.
• Flexible and able to adapt to changes in workflow, priorities, and departmental needs.
• Ability to work independently and exercise sound judgment within established procedures.
• Ability to remain calm, courteous, and professional during all interactions with patients, visitors, insurance representatives, and staff.
• Reliable access to a vehicle for local errands as required by the position.
• Ability to operate a 10-key calculator by touch accurately.