Patient Account Representative

Patient Account Representative II / BillerDate: Sep 10, 2026Location: Indianapolis, IN, US, 46202Organization: HHCDivision: Eskenazi Health Sub-Division: HospitalEskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.Job Role Summary: The Patient Account Representative II/Biller provides timely and accurate billing to facilitate optimized reimbursement, research, and performance improvement initiatives. This includes the verification of billing data for accuracy and completeness, following regulatory requirements, and in order to resolve edits or exceptions detected during system processing of the claim in the patient account system, claim editing system or the payor, reviewing the medical, facility protocol, other applicable documentation, and the understanding of payor denials, appeal, process, and credit balances.Essential Functions and Responsibilities:Responsible for the resolution of credit balances that have an outstanding low balance for hospital accounts, in compliance with Federal and State regulatory guidelines for timely turnaround of resolution.Serves as a resource to other departments to resolve problems and expedite billing and collection processesResponsible for resolving claim edits for low dollar hospital accounts while adhering to payor guidelines and regulationsResponsible for identifying and trending payor rejections and denials, and also implements system process improvements to prevent future rejections and denialsAnswers e-mails and voicemails on a timely basisAide and assist on special projects, including providing coverage for team members who are out of the officeKeeps up to date on account billing and collection rules and regulations, contract terms, and conditions with regards to timely filing and service pre-certifications and authorizationsMakes phone calls to patients and insurance companies to obtain information required to resolve patient accountsUpdates job knowledge by participating in educational opportunities; reading professional publicationsWorks efficiently under pressure, acts independently, and accepts responsibility for decisionsParticipates in monthly staff meetings to educate new payor habits and etc. as neededCompletes payor appeals based on under payment, timely filing, medical necessity, and prior authorizationsWorks proactively with departments, and resolves billing and/or issues; resolves Do Not Bill (DNB) errors and warnings, claim edit resolution. Review and maintain AR denials to ensure KPI measurements are met and/or exceeded; KPI's are as follows: maintain AR days under 35, days in credit balance less than 1 day of AR, days in denial less than 1 day of AR, and outstanding claims are billed within 7 days of erroring out in the systemWorks with management when contract variances are identifiedWorks assigned patient accounts in a credit balance and claims to resolutionPerforms accurate data entry for required information in the various management systemsCompletes refund packet within the OnBase imaging systemMaintains weekly Excel spreadsheet of refunds processedResearches and resolves issues with balancing and posting of patient revenue within multiple systemsReconciliation of all transactions within the patient accounting systemJob Requirements:Associate degree in business-related field preferredTwo years of accounts receivable experience in a hospital billing environment or two to three years in a financial institution, may be accepted in lieu of formal educationPrevious denial management with Medicare, Medicaid, and Insurance is a plusPrevious experience with billing Medicare, Medicaid, and Insurance is a plusMedical billing and coding certification a plusKnowledge, Skills & Abilities:In depth knowledge and the ability to translate code set for billing of federal, state and regulatory laws.The ability to follow Eskenazi Health Services policies and procedures, and of Indiana State Department of Health regulationsAbility to utilize support systems such as Epic, Onbase, NThrive, and/or other software applicationsKnowledge of Epic Patient Accounting systemAbility to use computer –key entry and operate a calculatorExtensive knowledge of and ability to research and identify payor billing and reimbursement guidelinesExcellent oral and written communication skills with the ability to present information to groups of clinical and non-clinical staffAbility to lead, supervise and motivate personnelExcellent customer service skillsAbility to act professionally, be team oriented, and take solution-driven approaches to problem solving for all types of issuesHigh level of professionalism and ethical behaviorKnowledge of reimbursement methodologies, payor coverages, State/Federal programs providing healthcare benefits and paymentsKnowledge of assigned payer(s) billing requirements and regulationsAbility to learn software quickly and interpret instruction manualsMust be capable of completing tasks within given time frames and be productive and goal orientedAbility to work independently and within a team with instructions and to deal with problems effectively in collaboration with peers and staffAbility to quickly learn and use payer and hospital patient accounting systemsPossess knowledge of Health Care Procedure Codes and Uniform Billing standardsAbility to multi-task in a fast paced environmentHigh level of interpersonal, problem solving, and analytical skillsAccredited by The Joint Commission and named as one of Indiana's best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute, Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the first verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.