Patient Account Representative

Wickenburg Community Hospital•Surprise, AZ

About The Position

The Patient Account Representative is responsible for billing and collecting outstanding insurance balances in a timely manner. The role reviews assigned accounts, pursues payment from insurance payers, resolves claim denials, and coordinates with hospital teams and payer representatives. The position also supports business-office operations by answering incoming calls, documenting account activity, following collection procedures, and participating in training as assigned.

Requirements

High school diploma or equivalent required.
Two or more years of insurance claims processing in a medical setting.
Two or more years of healthcare collection experience required.
Knowledge of Medicare, AHCCCS, and commercial insurance.
Computer literacy, including Windows basics, and experience with EHR and electronic billing practices.
Professional appearance and conduct.

Nice To Haves

Knowledge of ICD-10, CPT coding, and medical terminology.

Responsibilities

Bill and/or rebill insurance claims within payer timely filing limits.
Review all accounts within assigned inventory and attempt to collect outstanding insurance balances.
Check payer websites and/or call payers for updated claim statuses and processing.
Resolve payer denials by submitting corrected claims or appeals.
Escalate payer issues to the Patient Accounts Manager and join payer meetings.
Coordinate with billers/collectors, the Self Pay collections team, coding, registration, cash posting, and other hospital staff.
Answer incoming phone calls.
Follow collection policies and procedures.
Maintain notes in patient accounts for all actions taken.
Work as a team member within the business office.
Attend in-service training and education sessions, as assigned.
Perform specific work duties and responsibilities assigned by the supervisor.