Patient Account Representative - Hospital

Job Description

The Patient Accounts Specialist is a liaison to review and resolve complex patient account issues. The specialist may be responsible for customer service, posting, billing, and/or collection processes. The incumbent incorporates the Mission values and philosophy of the organization into all job duties, using experience and judgment, working under minimal supervision. Creativity is expected in performing the job and may lead and direct the work of others.

• Provide supervision and support as a team lead over patient charge posting, billing, and collection operations, assisting co-workers with patient account inquiries.
• Promote quality and efficiency of personal performance through participation in staff educational programs and specialized training.
• Provide quality training and orientation for assigned employees, inform co-workers of relevant policies, allocate tasks, and monitor departmental work schedules.
• Promote efficient departmental operations by monitoring controls to ensure appropriate submission, billing, and payment cycles; recommend procedures for follow‑up on third‑party approvals, billing, and collection of overdue accounts.
• Answer inquiries from patients, co‑workers, and employees regarding patient accounts in a kind and courteous manner.
• Follow up on unpaid claims by contacting intermediaries or insurance carriers to relieve patients of financial burden; prepare lists of past‑due accounts for collection to meet legal and payer requirements.
• Work with insurance companies on provider contract agreements to ensure correct adjustments to patient accounts.
• Ensure implementation of established billing and collection procedures; keep patient accounts receivable records in compliance with policies to promote quality health care services and prudent hospital management.
• Monitor accounts receivable and cash receipt functions, staying current on government and private insurance reimbursement billing procedures.
• Perform other duties as assigned or requested.

• Minimum three years of relevant experience; alternatively a Bachelor’s degree substitutes two years of experience, an Associate’s degree, trade school, or certification substitutes one year.
• High School diploma or equivalent required.
• Knowledge of ICD‑10, CPT, and HCPCS coding, and ability to read and understand third‑party payer explanation of benefits.

Mid‑Senior level

Full‑time

Health Care Provider

Hospitals and Health Care