Patient Accounts Representative

Description

Patient Accounts Representative
Position Summary

Fall River Health Services is seeking a detail-oriented Patient Accounts Representative to join our Revenue Cycle team in Hot Springs, SD. This position is responsible for medical billing, insurance claims, payment posting, accounts receivable follow-up, and patient account support for both Fall River Health Services and Seven Sisters Living Center.

The ideal candidate is organized, accurate, comfortable working with numbers and insurance information, and committed to providing professional and compassionate customer service.
Schedule & Pay

• Schedule: Monday-Friday, 8:00 a.m.-5:00 p.m.
• Pay Range: $18.77-$25.17 per hour

Essential Duties & Responsibilities

• Process and submit hospital, clinic, facility, and medical insurance claims according to payer requirements.
• Research and follow up on unpaid, denied, or delayed claims.
• Process primary and secondary insurance claims and resolve billing errors or discrepancies.
• Post patient and insurance payments accurately and timely.
• Prepare and enter daily financial deposits.
• Identify overpayments and process patient and insurance refunds.
• Monitor and process assigned EPIC billing and financial workqueues.
• Assist with accounts receivable follow-up and aging account resolution.
• Complete billing reconciliations and month-end account balancing.
• Answer patient and insurance inquiries by phone and in person.
• Explain patient balances, insurance payments, adjustments, and billing statements.
• Assist patients with payment arrangements and billing questions.
• Maintain accurate documentation and notes on patient accounts.
• Collaborate with hospital, clinic, nursing, medical records, and other departments to obtain information needed for accurate billing.
• Maintain strict confidentiality and comply with HIPAA and applicable federal and state regulations.
• Assist with training and onboarding of other Patient Accounts Representatives as needed.
• Perform additional clerical and Revenue Cycle duties as assigned.

Qualifications & Skills

• Previous experience in medical billing, patient accounts, accounts receivable, healthcare revenue cycle, or insurance billing preferred .
• Experience with EPIC or another electronic health record (EHR) preferred.
• Knowledge of Medicare, Medicaid, and commercial insurance billing preferred.
• Strong attention to detail and accuracy.
• Excellent organizational and communication skills.
• Strong customer service and problem-solving abilities.
• Comfortable working with numbers, financial information, and computer systems.
• Ability to handle confidential information professionally.
• Ability to work independently and effectively as part of a team.

Requirements

• Minimum Education: High School Diploma or equivalent required.

• Preferred Education: Associate degree or higher in Accounting, Finance, Healthcare Administration, or Business preferred. A degree or certificate in Medical Billing is strongly desired.

• Core Experience: Previous experience in medical billing, healthcare accounts receivable, health insurance claim filing, or general financial services is strongly desired.

• Technical Knowledge: Prior operational exposure to EPIC, Meditech, PointClickCare, or advanced health information networks is preferred. Proficient operational mastery of Microsoft Office (Excel, Word).