Patient Accounts Representative

Position Details Job Title: Patient Accounts Representative Location: 2 Crescent Place, Oceanport, NJ 07757 Department: Patient Accounts Category: Revenue Cycle and Patient Access Pay Range: $21.07 - $26.22 per hour Status: Full-Time Shift: Day Job Overview The Patient Account Representative is responsible for managing and resolving all aspects of the patient billing process. This includes billing insurance companies, following up on outstanding claims, collecting payments from patients, responding to patient inquiries, and maintaining accurate account records. The role is essential in ensuring timely revenue collection, maintaining patient satisfaction, and supporting the financial health of the organization. The position supports the reduction of Accounts Receivables. The Representative may also perform a variety of duties including assisting patients directly with their bill or other financial aspects of their hospital service, correspondence response, billing and rebilling, certain denial issues, prompt handling of A/R credits and trend monitoring. Essential Functions Takes actions that support maximization of collection of balances due or account resolution from all sources. Meets quality and productivity expectations. Facilitates account resolution. Accurately identifies, follows up on, or corrects billing errors, lower than expected reimbursement, or denials for correction for submission or resubmission to patients and/or insurance carriers. Accurately performs actions on accounts that will result in the least amount of time and effort to bring an account to resolution based on job-specific priority matrix. Timely identifies, researches, and resolves any issues that may cause delays in payment or account resolution. Identifies and recommends opportunities to improve collections and follow-up activities. Works collaboratively across teams, with peers, and revenue cycle departments. When asked, performs other duties as assigned to support revenue cycle operations. Billing and Claims Processing Prepare, review, and submit accurate insurance claims, electronic and paper, in a timely manner. Verify insurance eligibility and benefits prior to billing. Ensure compliance with payer requirements, CPT/ICD 10 coding standards, and billing regulations. Accounts Receivable and Collections Monitor aging reports and follow up on unpaid or denied claims with insurance payers. Post insurance and patient payments accurately, including adjustments and write-offs. Initiate appeals and re-submissions for denied or underpaid claims. Contact patients regarding outstanding balances and arrange payment plans when necessary. Customer Service Respond promptly and professionally to inquiries from patients regarding their accounts. Educate patients on billing processes, insurance coverage, and financial assistance options. Maintain a high level of customer service and ensure patient confidentiality at all times. Documentation and Reporting Maintain accurate and complete records of all patient account activity in the billing system. Document all communication and actions related to account resolution. Generate and analyze reports related to billing, collections, and aging accounts. Compliance and Quality Assurance Stay updated on healthcare billing regulations, HIPAA compliance, and payer policies. Participate in audits, training sessions, and process improvement initiatives. Identify trends and recurring issues to recommend operational improvements. Scheduling Requirements Full-Time, Day shift 40 hours a week. Shift begins between 7:30-8 AM. Position requires travel to Oceanport, NJ as needed. Qualifications Required: High School Diploma. Proficient in Microsoft Office (Excel, Outlook, Word). Excellent communication and interpersonal skills. Ability to prioritize tasks, manage time effectively, and handle sensitive information with discretion. Epic experience. Experience with professional billing. Follow‑up skills. Preferred: 1-2 years in healthcare insurance billing or account follow‑up; strong knowledge of Patient Accounting systems. Strong knowledge of medical billing software: Epic, Cerner, Athena, Meditech. Familiarity with ICD10, CPT, HCPCS coding and healthcare reimbursement methods. Benefits Paid Time Off (PTO). Medical and Prescription Drug Insurance. Dental and Vision Insurance. Retirement Plans. Short & Long Term Disability. Life & Accident Insurance. Tuition Reimbursement. Health Care/Dependent Care Flexible Spending Accounts. Wellness Programs. Voluntary Benefits (e.g., Pet Insurance). Discounts through partners such as NJ Devils, NJ PAC, Verizon, and more. Equal Opportunity Employer. #J-18808-Ljbffr