Patient Accounts Representative

Verify and update patient demographic, insurance, referral, and authorization information to ensure accurate account processing.

Confirm insurance eligibility using payer websites, available technology, and communication with third-party payers.

Prepare and submit accurate insurance claims within required timeframes.

Review claims for accuracy, resolve billing errors, and address claim processing issues with payers.

Work payer scrubber and denial reports to identify and resolve outstanding insurance claims.

Research and prepare payer appeals and provide necessary documentation to support claim payment.

Maintain clear and accurate account notes documenting all actions taken.

Collaborate with clinical departments, physician offices, referral/authorization teams, and other internal partners to resolve account issues.

Monitor trends related to denials, claim errors, and payer issues and escalate concerns as appropriate.

Maintain a working knowledge of third-party payer contracts and hospital billing processes.

Participate in process improvement initiatives and departmental projects.

High school diploma or GED required.

Previous medical billing experience, preferably working with automated billing systems, is preferred

Strong attention to detail with excellent organizational skills.

Ability to analyze and interpret routine account and billing information.

Strong written and verbal communication skills with the ability to interact professionally with patients, families, hospital employees, and external partners.

Ability to provide empathy and support when handling difficult patient or billing situations.

Ability to work effectively with diverse internal and external teams.

Strong computer skills and ability to accurately enter and retrieve information from automated systems.