Patient Accounts Representative II

Howard University Hospital • Washington, DC

13d • Onsite

About The Position

As a Patient Accounts Representative II at Howard University Hospital, you will play a critical role in the financial health of our institution — ensuring that the care our clinicians deliver is properly billed, accurately paid, and compliantly documented. Reporting to the Manager of Patient Accounts, you will manage hospital accounts from claim creation through final adjudication, working third-party payers, government programs, and managed care plans to resolve unpaid balances and protect Hospital revenue. If you bring deep experience in hospital billing and collections, an eye for detail, and the persistence to work claims to resolution, this is your opportunity to contribute to the financial sustainability of one of the nation’s most storied academic medical centers.

Requirements

• High School Diploma or General Equivalency Diploma (G.E.D.) required
• Minimum of five (5) years of experience in billing, collections, customer service, or cash posting required
• Hospital setting experience required
• Acute care facility experience required, including inpatient stay collection, DRG reimbursement, and Medicare and Medicaid payer experience
• Certified Patient Account Representative (CPAR — HFMA) or Certified Revenue Cycle Specialist — Institutional (CRCS-I — AAHAM) certification required, and must be retained throughout employment
• Demonstrated ability to produce accurate Medicare, Medicaid, and commercial payer claims that yield substantiated reimbursement
• Proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint); strong basic computer and math skills
• Strong organization, problem-solving, and time-management skills; ability to work independently in a collaborative environment

Responsibilities

• Review and update patient account insurance information, ensuring third-party payer information is complete and accurate
• Enter and update patient, insurance, contract, revenue, and reimbursement data into one or more hospital applications
• Verify insurance eligibility and covered services to support accurate claim creation and timely adjudication
• Prepare and submit hardcopy and electronic billing claim packages, collecting all necessary materials for proper claim creation and modification
• Make payer-specific data changes as required for accurate, compliant, and timely billing
• Verify that payments and account balances align with payer contracts and applicable billing rules and regulations
• Contact insurance carriers as scheduled by the collection tool; communicate clear action plans when adjudication is delayed
• Identify, review, and resolve denied claims daily; monitor accounts receivable status using Siemens Invision Unity, ePremis, EDM, the Medicaid and Medicare portals, CareFirst, and MCO portals
• Perform payer remittance and reimbursement posting reconciliation; ensure reimbursement is consistent with payer contractual terms before performing adjustments or billing patient responsibility
• Review and resolve credit balances accurately; report out-of-the-ordinary circumstances to immediate supervisors for investigation
• Receive and respond promptly to internal and external phone calls, correspondence, and inquiries related to patient accounts
• Prepare and maintain supporting data and documents on all required activities within the hospital system as defined by departmental guidelines
• Promote adherence to the Health Sciences Compliance Program, the Howard University Code of Ethics, the Health Sciences Standards of Conduct, and HIPAA
• Attend annual and periodic mandatory compliance training, including HIPAA Privacy training; actively participate in compliance program activities
• Participate in activities that promote adherence to federal healthcare program requirements
• Maintain strict confidentiality of patients, families, and staff

Benefits

• health
• disability
• vacation
• sick leave
• 403(b) retirement plan
• Tuition remission at Howard University for you and/or eligible dependent children — up to two (2) courses per semester

What This Job Offers

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