PATIENT ACCOUNT REP I

Stanford Health Care • Palo Alto, CA

1d • $32 - $36 • Onsite

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 the business office’s goal of resolving unpaid, underpaid, denied, or unresolved patient accounts. Depending on the team, responsibilities may span accounts receivable collections and payer follow-up, basic denial review and request processing, payment posting and batch reconciliation, credit balance review and resolution, retroactive eligibility and registration, underpayment reconciliation, and client or special billing. PAR I is an entry-level position that performs clearly defined, routine duties under initial close supervision, responds to straightforward queries or issues, and recognizes when to refer or escalate matters.

The position is onsite at Stanford Health Care in Palo Alto, California, and is full-time on an eight-hour day schedule. Employees are expected to follow Stanford Health Care’s C-I-CARE standards and support an exceptional patient and family experience.

Requirements

• High school diploma or GED equivalent.
• One year of directly related work experience.
• Meet weekly individual productivity goals and standards while following planned priorities set by the Team Manager.
• Maintain professional communication with PFS staff, payers, and patients regarding billing of services.
• Follow oral and written instructions and accurately interpret institutional and other policies.
• Communicate clearly and professionally verbally and in writing.
• Maintain confidentiality of sensitive information.
• Perform basic mathematics.
• Plan and prioritize work and meet deadlines.
• 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 payer types and landscape, including Medicare, Medicaid, Workers’ Compensation, Managed Care, or other commercial insurance.

Responsibilities

• Respond to payer requests by providing medical records or other documentation by mail or through payer portals.
• Field 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.
• Conduct basic claims follow-up, including denials, underpayments, and payer rejections.
• Support accounts receivable collections and payer follow-up, basic denial review and request processing, payment posting and batch reconciliation, credit balance review and resolution, retroactive eligibility and registration, underpayment reconciliation, and client or special billing as assigned.

What This Job Offers

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