Patient Accounts Representative

Patient Accounts Representative

Overview Employer paid benefits - Medical, Dental, and Vision! Wage compensation - Min: $ 24.65 Max: $ 37.75 The Patient Accounts Representative is responsible for ensuring all daily billing functions for the hospital and clinic are completed efficiently. Employee organizes inpatient and outpatient claims for electronic or hard copy submission to appropriate third-party payers. Employee reviews claim to make sure that payer specific billing requirements are met, follows up on billing, determines and applies appropriate adjustments, answers inquiries, and updates accounts as necessary.

Responsibilities

Essential Job Functions: Employees perform all daily billing functions for hospital and clinic accounts by reviewing and correcting claims through claim work queues and claim validation software. Provides courteous and professional customer service by assisting with patient inquiries in person or via phone to maintain a positive customer experience. Employee works and resolves daily claim error queues, including claim rejections, to ensure that all billing is completed timely to transmit to the clearinghouse. Reviews of past follow-up accounts, contact insurance for payment resolution. Employee reviews work queue deficiencies to identify errors. Takes necessary corrective actions such as contacting insurance, appealing with insurance, correcting claims, and initiating account review. Demonstrates knowledge and understanding of the healthcare revenue cycle. Identifies and resolves overpayments on accounts that may result in refunds. The employee supports the hospital mission, vision, values, policies, and procedures. Participates in required education for DNV programs as applicable to position (reference program education curriculum). Performs other related duties as assigned.

Qualifications

Education Required: None required. Preferred: High School Diploma or equivalent preferred. Licenses/ certifications/ registrations Required: Preferred: Experience Required: None required. Preferred: Minimum of 2 years of hospital experience preferred. Other: Bilingual and/or English Spanish speaking preferred. Ability to work with culturally diverse population. Provide superior customer service. Be accountable and take ownership of assigned job duties. Acquire and maintain a thorough knowledge of Revenue Cycle. Maximize resources by performing job duties in an efficient and accurate manner.

Physical Requirements: Prolonged periods of sitting at a desk and working on a computer. Occasional walking, standing, bending, or lifting light office items (up to 25 pounds). Visual acuity to view computer screens and read detailed financial documents. Ability to communicate effectively in person, by phone, and electronically. May be required to move throughout the healthcare facility, including administrative and clinical areas.

Working Conditions: This position operates in a professional office setting within a healthcare facility. The role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The office environment is climate-controlled, well-lit, and ergonomically designed for extended computer work. While this role is primarily office-based and does not involve direct patient care, the employee may occasionally be present in clinical areas or interact with staff working in clinical environments. As such, there is a potential for exposure to infectious diseases. The organization provides appropriate training and personal protective equipment (PPE) as needed to ensure safety.

Good Shepherd Health Care System