Patient Account Rep I

Stanford Health Care•Palo Alto, CA

About The Position

The Patient Account Representative (PAR) is responsible for timely and accurate processing of insurance-balance patient claims in accordance with contracts and policies. The role supports Patient Financial Services operations and the business office’s goal of resolving unpaid, underpaid, denied, or unresolved patient accounts. Depending on the team, responsibilities may include accounts receivable collections and payer follow-up; basic clerical denial review and request processing; payment posting and batch reconciliation; credit balance review and resolution; retroactive eligibility and registration; underpayment reconciliation; and client or other special billing. PAR I is an entry-level position. Under initial close supervision, the representative performs clearly defined, routine duties, responds to straightforward queries or issues, and recognizes when to refer or escalate matters. The position involves working in Epic and completing claims follow-up and related business-office activities. This is a Stanford Health Care job with an eight-hour day shift in the United States of America. The posted base pay scale generally starts at $32.42–$36.48 per hour. The finalist’s salary will be determined based on factors including internal equity, experience, education, specialty, and training; the pay scale does not guarantee a particular wage.

Requirements

High school diploma or GED equivalent.
One year of directly related work experience.
Ability to follow oral and written instructions and accurately interpret institutional and other policies.
Clear, professional verbal and written communication skills.
Ability to maintain confidentiality of sensitive information.
Ability to perform basic mathematics.
Ability to plan, prioritize, and meet deadlines.
Ability to work effectively with individuals at all levels of the organization.
Knowledge of accounts receivable software systems and medical billing operations.
Familiarity with medical reimbursement policies and procedures and medical terminology.
Knowledge of the payer landscape, including Medicare, Medicaid, Workers’ Compensation, Managed Care, or other commercial insurance.
Ability to meet weekly productivity goals and standards while following planned priorities.

Responsibilities

Respond to payer requests, including providing medical records or other documentation by mail or through payer portals.
Receive incoming business-office correspondence and distribute it appropriately.
Work in Epic to resolve work queues, locate documentation, and perform follow-up or other business-office activities.
Perform printing and mailing functions.
Edit and submit electronic or hardcopy claims to payers.
Perform basic claims follow-up related to denials, underpayments, or payer rejections.
Meet weekly individual productivity goals and standards while following priorities set by the Team Manager.
Communicate professionally with PFS staff, payers, and patients about billing for services.
Depending on the assigned team, support accounts receivable collections and payer follow-up, clerical denial review and request processing, payment posting and batch reconciliation, credit-balance resolution, retroactive eligibility and registration, underpayment reconciliation, or client and special billing.
Follow Stanford Health Care’s C-I-CARE standards and contribute to an exceptional patient and family experience.