Patient Account Representative

About the role

As a Patient Account Representative, you will manage billing and collections tasks for patient accounts across hospital and clinic facilities. The role focuses on timely and accurate billing and collections to various insurance carriers, including Commercial, Managed Care, Government, and Third-Party payers. You will perform follow-up activities to ensure accounts are processed, paid accurately, billed, appealed, and resolved, including addressing credit balances.

Responsibilities

• Perform billing and follow-up functions as directed by department leadership.
• Demonstrate understanding of relevant financial and medical terminology for claim processing.
• Maintain knowledge of state, federal, and third-party regulatory requirements for revenue cycle operations (e.g., healthcare reform, state surcharges, CMS).
• Utilize reimbursement tools, including payer contracts, claims workflow systems, and expected reimbursement software.
• Comply with hospital and clinic billing policies and procedures.
• Collect accurate information and verify documentation for timely billing and resolution of patient accounts.
• Communicate with internal departments, insurance payers, patients, and other healthcare providers.
• Participate in training, AR projects, and meetings related to Patient Financial Services.

Requirements

• High School Graduate or GED.
• 1+ years of experience with billing, collections, and/or Revenue Cycle operations in an acute care or ambulatory setting.
• Typing speed of 40 WPM and Ten Key proficiency (8,000 keystrokes per hour).
• Knowledge of Government and/or Non-Government billing and collections regulations.
• Familiarity with claim submission, claims follow-up, appeals process, and medical and billing terminology.

About the workplace

St. Joseph's Medical Center, a member of Dignity Health, is a not-for-profit, fully-accredited regional hospital with 395 beds, a physician staff of over 400, and more than 2,400 employees. Founded in 1899, it specializes in cardiovascular care, comprehensive cancer services, and women and children's services, including neonatal intensive care. As the largest hospital and private employer in Stockton, California, St. Joseph's is nationally recognized for quality and is the most preferred hospital among local consumers.

Pay

$33.51 - $38.31 per hour.