Patient Account Representative

DCH Health System•Tuscaloosa, AL

11d•Onsite

About The Position

The Patient Account Representative manages and performs efficient and effective accounts receivable functions for DCH Regional Medical Center, Northport Medical Center, Fayette Medical Center, DCH Home Health, and Home Medical Equipment. The role reviews and corrects assigned claims in error, hold, or rejected status and maintains individual and departmental performance goals related to discharged-not-final-bill-submitted claims, accounts receivable days, cash collections, accounts receivable aging, and other assigned measures. The position requires daily work with claims and patient-account systems, collaboration with other DCH departments, and professional customer service. It is performed onsite in an indoor cubicle area and involves repetitive desktop work, daily communication with coworkers or outside sources, and physical activities such as sitting, filing, organizing paperwork, and lifting or moving materials. The representative must protect patient confidentiality, follow DCH policies and compliance requirements, and help maintain a safe environment for patients, visitors, and employees.

Requirements

High school education or equivalent is required.
Proficient personal computer skills.
Very good interpersonal and communication skills.
Customer service skills and a history of good attendance.
Ability to read, write legibly, speak, and comprehend English.
Ability to maintain patient confidentiality.
Ability to work independently with little or no supervision and work well with others.
Must be results-oriented, reliable, responsible, dependable, and able to fulfill obligations.
Ability to take on responsibilities and challenges and remain open to change.
Ability to analyze information and use logic to address work-related issues and problems.
Attention to detail and thoroughness in completing work tasks.
Ability to remember procedures and understand information presented verbally or in writing.
Ability to communicate clearly, recognize when something is wrong, concentrate, shift between activities, perform repeated finger, hand, and wrist movements, and identify speech amid distracting sounds.
Must be able to sit for extended periods, use fingers for data entry, and perform the duties with or without reasonable accommodation.
Hearing and vision must be normal or corrected to within normal range.
Physical presence onsite is essential.
The work is classified as light work, involving exertion of up to 20 pounds occasionally and/or up to 10 pounds frequently, with negligible force constantly.
The job involves repetitive desktop work for 40 hours per week.

Nice To Haves

One year or more of related experience in a healthcare business office.
Knowledge of insurance types related to claims billing and follow-up, including governmental, HMO, PPO, and commercial insurance.
Knowledge of federal, state, hospital, and departmental rules and regulations for compliant healthcare claims filing and reimbursement.

Responsibilities

Bill assigned primary, secondary, tertiary, and other claims daily using Meditech, Optum, and other Patient Accounts Department software.
Research and work assigned claims in error, rejected, or hold status.
Meet individual and departmental productivity goals for claims not yet submitted as final bills, accounts receivable days, cash collections, accounts receivable aging, and other assigned measures.
Coordinate with DCH departments, including Patient Access, Case Management, and Medical Records, to support efficient and compliant processes and accurate revenue collection.
Maintain professionalism and provide a positive customer service experience in all interactions.
Make lean recommendations to improve processes.
Attend required training sessions and complete certifications as requested by management.
Maintain performance, patient and employee satisfaction, and financial standards outlined in the performance evaluation.
Meet compliance requirements in the Employee Handbook and adhere to DCH Behavioral Standards and all DCH Health System policies and procedures.
Perform essential functions in a way that supports the safety of patients, visitors, and employees; identify unsafe practices and take appropriate action to reduce risks and hazards.
Use electronic mail, time and attendance software, learning management software, and the intranet.
Perform other duties as assigned.