Patient Account Representative II - Patient Billing Services

HonorHealth•Phoenix, AZ

18h•Onsite

About The Position

The Patient Account Representative II is responsible for billing and collecting, account research, correspondence, payment and adjustment posting, charge entry, prior authorization, and other work that supports timely reimbursement to medical providers. The representative independently identifies and resolves account errors to bring balances to zero within established time frames. The role handles insurance and patient accounts, claim denials and edits, payment processing, correspondence, and account reconciliation. It also supports clinics, maintains current knowledge of payer billing requirements, and provides customer service to patients, coworkers, vendors, and management.

Requirements

High school diploma or GED.
At least 2 years of healthcare billing and collections experience in a medical practice or healthcare organization.
Independent problem-solving skills for researching and resolving account errors.
Ability to handle numerous tasks simultaneously and work flexibly in a team environment.

Nice To Haves

5 years of healthcare-related medical professional billing and collections experience.

Responsibilities

Follow up on assigned insurance accounts and collect payments to reduce accounts receivable.
Submit appeal letters for unpaid or underpaid claims and contact insurers about denials and correspondence.
Contact patients about insurance-related issues and coordinate with patients, practices, and insurers to address complaints and problems.
Research recoupments and repayments to confirm payment accuracy and compliance with Medicare and managed-care contract methodologies.
Work the electronic denial file (835b) and claim-edit work queues to support clean, timely claim submission.
Review assigned charge-review work queues and enter physician billing charges.
Submit final letters to delinquent accounts, answer incoming patient calls, and make collection calls for past-due balances.
Process credit-card payments, post payments, establish patient payment plans, and review statements for accuracy.
Work with statement and bad-debt vendors on disputes and account accuracy; process returned mail and update accounts.
Maintain knowledge of regulatory billing requirements and payer-specific or specialty-specific limitations and expectations.
Process the daily electronic claims batch and initiate printing of paper claims.
Handle payments and correspondence received in the central business office, including EFT/ERA, lockbox, mail, point-of-sale, and phone payments.
Create payment batches, scan correspondence into the patient billing system, process deposits, and post payments and denials.
Process ERA payments and work the related error queue; perform daily batch reconciliation.
Work credit queues, maintain undistributed credits, process refunds, and research incorrect adjustments or payments.
Prioritize work, participate in daily DMS huddles and department meetings, and maintain an efficient filing system and organized work area.
Provide five-star customer service, communicate and engage effectively, participate in training and constructive feedback, and work effectively in a team while handling multiple tasks flexibly.
Provide support to clinics as needed during patient care hours.
Set up courier service for new clinics.
Perform other duties as assigned.