Patient Account Representative -"Biller" (Onsite – In-Person Role Required)

Henry Ford Behavioral Health•West Bloomfield, NY

4d•Onsite

About The Position

Henry Ford Behavioral Health Hospital is seeking a Patient Account Representative to join our Business Office team. This role plays a vital part in ensuring timely reimbursement and efficient revenue cycle operations. The Patient Account Representative is responsible for managing and resolving outstanding insurance claims and patient accounts to ensure accurate billing and reimbursement. This position requires strong analytical skills, attention to detail, and the ability to work collaboratively with internal teams to support the financial health of the organization while contributing to a positive patient experience. Henry Ford Behavioral Health Hospital is a joint venture between Henry Ford Health and Acadia Healthcare, expanding access to high-quality behavioral health services. Our state-of-the-art facility in West Bloomfield was designed to support healing, recovery, and wellness.

Requirements

High school diploma or equivalent required.
Medical billing and collections experience in a hospital setting required.
Strong knowledge of insurance claims processing, accounts receivable management, and reimbursement practices.
Proficiency in healthcare billing systems and electronic claims processing.

Nice To Haves

Experience working with Medicare, Medicaid, and commercial insurance payers preferred.
Psychiatric experience preferred.

Responsibilities

Call and status outstanding claims with third party payors.
Review claims issues and make corrections as needed and rebill.
Utilize claims clearing house to review and correct claims. Resubmit electronically when available.
Review explanation of benefits to ascertain that claim processed and paid correctly.
Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.
Prorate patient accounts and monitor that balance due is in the correct financial class.
Report an overview of the week to the BOD and participate in AR meetings.
Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
Assist financial counselors as needed.
Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.