About The Position

The Patient Account Representative I is responsible for billing and collections, account research, payment posting, charge entry, and related duties to support timely reimbursement to medical providers. The role requires independent problem-solving to resolve account errors and bring balances to zero within established time frames. The representative follows up on assigned insurance and patient accounts, researches denials and correspondence, answers patient calls, processes payments, enters charges, reviews claim edits, and handles payments and correspondence received by the central business office. The role also includes maintaining knowledge of payer billing requirements, supporting departmental workflows, and providing five-star customer service to patients, coworkers, vendors, and management.

Requirements

  • High school diploma or GED.
  • One year of healthcare-related medical billing and collection experience in a medical practice or healthcare organization.

Responsibilities

  • Follow up on assigned insurance accounts and contact insurers regarding denials and correspondence to research accounts and secure payment.
  • Review assigned charge review work queues.
  • Follow up on assigned patient accounts to reduce patient accounts receivable.
  • Answer incoming patient calls, process credit card payments, and post payments in the patient billing system.
  • Process returned mail and update accounts to ensure information is accurate.
  • Enter physician billing charges and review claim edit work queues.
  • Maintain knowledge of regulatory billing requirements for specified payers and specialty-specific limitations or payer expectations.
  • Handle payments and correspondence received by the central business office, create payment batches, scan correspondence into the patient billing system, and post payments and denials.
  • Prioritize work to support efficiency in the collections process.
  • Participate in daily DMS huddles, department meetings, and training as needed.
  • Provide five-star customer service to patients, coworkers, vendors, and management.
  • Maintain an efficient filing system and a clean, organized work area.
  • Communicate and engage effectively, work in a team environment, participate in constructive feedback, and handle multiple tasks with flexibility.
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