Patient Accounts Representative

Employer-paid benefits include medical, dental, and vision coverage.

About the role

The Patient Accounts Representative ensures all daily billing functions for the hospital and clinic are completed efficiently. Responsibilities include organizing inpatient and outpatient claims for electronic or hard-copy submission to third-party payers, reviewing claims to meet payer-specific billing requirements, following up on billing, determining and applying adjustments, answering inquiries, and updating accounts as necessary.

Responsibilities

• Perform all daily billing functions for hospital and clinic accounts by reviewing and correcting claims through claim work queues and claim validation software.
• Provide courteous and professional customer service by assisting with patient inquiries in person or via phone to maintain a positive customer experience.
• Resolve daily claim error queues, including claim rejections, to ensure timely billing transmission to the clearinghouse.
• Review past follow-up accounts and contact insurance for payment resolution.
• Review work queue deficiencies, identify errors, and take corrective actions such as contacting insurance, appealing claims, correcting claims, and initiating account reviews.
• Demonstrate knowledge and understanding of the healthcare revenue cycle.
• Identify and resolve overpayments on accounts that may result in refunds.
• Support the hospital mission, vision, values, policies, and procedures.
• Participate in required education for DNV programs as applicable to the position.
• Perform other related duties as assigned.

Requirements

• High School Diploma or equivalent preferred but not required.
• Minimum of 2 years of hospital experience preferred but not required.
• Bilingual (English/Spanish) preferred.
• Ability to work with a culturally diverse population.
• Provide superior customer service and take ownership of assigned job duties.
• Acquire and maintain a thorough knowledge of the 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 primarily office-based and not involving direct patient care, the employee may occasionally be present in clinical areas or interact with staff in clinical environments, with potential exposure to infectious diseases. Appropriate training and personal protective equipment (PPE) are provided to ensure safety.

Pay

$24.65 – $37.75 per hour.

Schedule

40 hours per week, day shift.