Patient Account Representative III

McLaren Health Care • Shelby Township, MI

26d

About The Position

Under general direction, the Patient Accounting Representative III completes assigned tasks in areas such as customer service, collections, cash posting, and billing, as directed by CBO Management. The role performs advanced patient accounting responsibilities and may serve as the department’s subject matter expert for assigned revenue cycle functions. Work is expected to meet the quality and productivity standards established for the position.

Requirements

• High school diploma or GED.
• Five years of experience in finance/accounting, customer service, or healthcare.

Nice To Haves

• Associate degree in health care, finance, or a related area; equivalent combinations of education and relevant experience are also considered.
• Working knowledge of CPT, HCPCS, and ICD-10.

Responsibilities

• Perform advanced and complex patient accounting and revenue cycle functions accurately, promptly, and in accordance with departmental standards.
• Serve as a subject matter expert and resource for department staff on patient accounting processes, payer requirements, account resolution, billing, follow-up, payment posting, refunds, reporting, documentation, and related revenue cycle functions.
• Review, update, and maintain patient accounts to support accurate billing, payment posting, follow-up, collections, refunds, reporting, and account resolution.
• Research and resolve account issues involving insurance, patient balances, payments, adjustments, refunds, documentation, and claims.
• Provide guidance and assistance to staff regarding workflow questions, account issues, payer requirements, and departmental procedures.
• Communicate professionally and effectively with patients, insurance carriers, vendors, internal departments, and other customers to obtain information, resolve inquiries, and support timely account resolution.

What This Job Offers

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