Patient Account Representative I

About This Role

The Patient Account Representative I performs a variety of revenue cycle activities including billing, collections, cash posting, and customer service in support of hospital and physician accounts. This position ensures accurate and timely financial documentation and reimbursement through effective communication with patients, insurance companies, and other stakeholders, while maintaining compliance with all regulations.

Responsibilities

• Accurately and efficiently processes patient accounts, including billing, collections, and payment posting
• Responds to and resolves inquiries from patients, insurance carriers, and internal departments
• Prepares and submits claims using billing systems; works claim edits and rejections
• Follows up on unpaid accounts and performs collections activities as appropriate
• Researches and applies unidentified payments
• Balances daily cash posting and reconciles discrepancies
• Files appeals and reconsideration requests as per department protocol
• Identifies and reports overpayments; ensures appropriate refunds
• Participates in A/R clean-up projects and other revenue cycle initiatives
• Maintains productivity and quality standards while managing daily work queues
• Demonstrates ownership and accountability in completing assignments

Requirements

• Ability to communicate effectively, both verbally and in writing
• Ability to work independently with minimal supervision
• Strong customer service and interpersonal skills
• Basic general accounting and bookkeeping knowledge
• Knowledge of medical billing practices and medical terminology

Qualifications

• High School Diploma or GED Equivalent
• 1–2 years previous hospital and/or physician business office experience preferred

Nice to Have

• Experience with Epic
• Experience with SSI
• Proficient in Microsoft Excel, Word, Outlook
• Operates 10-key pad efficiently (for cash posting roles)

Skills

* Required skills

Certifications