Associate Patient Account Representative

Northwell Health

2d

About The Position

Performs billing, collections, third-party reimbursements, computer data entry and retrieval, and assists with posting charges to accounts. The role supports accurate charge and payment entry, coding review, and resolution of insurance payer edits, rejections, and denials. It also involves preparing correspondence and appeal packages for insurers and patients, communicating professionally, and keeping work files organized. All listed responsibilities are essential functions under the Americans with Disabilities Act; related duties not listed are not considered essential functions.

Requirements

• High school diploma or equivalent.
• 0–1 years of relevant experience.

Responsibilities

• Performs charge and payment entry and ensures accurate completion of coding for assigned physician specialties.
• Assists with reviewing physician coding and identifying possible conflicts in coding rules.
• Notifies physicians when discrepancies are identified for correction.
• Coordinates incoming mail with open-queue charges to maintain queue status.
• Reads and interprets insurance explanations of benefits; responds to payer edits, rejections, and denials; identifies causes of rejections and selects appropriate resolution methods.
• Creates detailed, well-written letters to insurers and patients.
• Creates appeal packages for submission to insurers.
• Communicates professionally with insurers and patients.
• Maintains organized files of incoming and completed work.
• Performs related duties as required.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED