Hospital Patient Accounts Representative

Ely-Bloomenson Community Hospital•Ely, MN

4d•$21 - $25

About The Position

The Hospital Patient Accounts Representative handles patient billing and verifies medical insurance coverage. The Hospital Patient Accounts Representative’s responsibilities include liaising with medical insurance providers to resolve payment issues, assisting patients in understanding medical insurance benefits, and refund processing. At Ely-Bloomenson Community Hospital (EBCH), we believe in delivering exceptional care to every patient, every time, and that starts with supporting our team. We offer competitive pay, outstanding benefits, and a healthy work-life balance. Whether you’re providing direct patient care or supporting hospital operations, you’ll be part of a team that values excellence and professional growth.

Requirements

High School Diploma or Equivalent required.
Business-oriented curriculum or minimum of one year experience in Receptionist or Admitting Clerk position in health care setting and minimum of 6-months experience in claims submission and claims adjudication; or training/certificate from a billing or similar program.
Demonstrated understanding of contractual adjustments to determine if balance of account is patient liability, provider liability or can be sent for review/appeal.

Nice To Haves

Knowledge or experience using EPIC is preferred.
Knowledge of CPT codes, DX codes, and Rev Codes is preferred.
Knowledge of various medical insurance programs and billing requirements is preferred.

Responsibilities

Verifies insurance coverage, benefits, and updates patient demographics and insurance information.
Document complaints and correspondence received from patients and/or insurance carrier and directs them to appropriate team leaders and executives.
Reviews credit balance accounts to determine if a refund should be issued to insurance or patient.
Monitor claims resolution by utilizing practice management systems and applications.
Complete timely insurance follow-up by using payor websites and contacting payors to resolve unprocessed claims and denials.
Identify billing problems from EOBs and work to correct the errors according to payor guidelines.
Performs receptionist duties or admitting duties when needed.
Performs admission notifications and prior authorizations when needed.
Enters and posts payments/charges/adjustments into the hospital practice management system when needed.
Keys data into computer system for the General Ledger transactions in the Billing Accounts Receivable module.
Answers inquiries from customers promptly and courteously.
Processes electronic patient payments in person or over the phone.
Sets up payment plans in the management system.
Updates the patient's accounts to identify actions taken on the account.

Benefits

Generous paid vacation, sick and safe time, and several paid holidays!
Medical Insurance Plans through Blue Link with up to $4,000 annual HSA EBCH Contribution (based on plan enrollment)
Dental Insurance
Vision Insurance – Policy paid 100% by EBCH
403(b) Retirement Plan with EBCH Contribution
Health Care and Dependent Care FSA
Short-term and Long-term Disability Insurance – Policies paid 100% by EBCH
$75,000 Life and AD&D Insurance Plan - Policies paid 100% by EBCH
Optional Supplemental Life Insurance for you and your family at a low rate
On-site Employer Daycare with Employee Discounted Rates
Bucketlist Rewards & Employee Recognition Program
Employee Assistance Program
Benefits and eligibility may vary based on FTE status.