Patient Account Representative

Business Office:
Patient Account Representative Essential Functions

• Responsible for taking incoming patient calls regarding patient’s account.
• Working daily claim edits on new claims in EDI claim scrubber.
• Educating patients on financial policies and screening them for charity or other funding.
• Completing financial applications within 30 days of receipt from the patient.
• Ensuring patients pay their accounts per the hospital policy – 12 months interest free or the Commerce Loan Program.
• Reviewing accounts ready for agency placement and transferring to appropriate collection agency after completion of statement cycle.
• Reviewing and posting adjustments as requested by AR vendor weekly.
• Reviewing probate listings weekly and taking action to file with estate or writing off to presumptive charity if there is no estate.
• Returning messages and emails by end of each day.
• Covering the cash window every 4 days – taking patient payments for walk‑in patients and cafeteria deposits and appropriately closing out drawer and depositing each day when working the cash window.
• Updating collection agency when patient makes a direct payment to the facility.
• Maintaining Medicare Cost report for charity write‑offs monthly and filing in shared drive.
• Reviewing and resolving assigned credit balances.
• Working assigned claim edits and proration edits daily.
• Performing other duties as assigned.

Knowledge, Skills, and Abilities: Ability to read, spell and write clearly. Accurate typing, filing and calculating skills. Skills in performing Excel and Word functions. Communication and computer skills.

Education: High school graduate with accounting courses.

Experience: Experience in working with the public, preferably in the medical environment. Knowledge of the Fair Debt Collection Act. Experience in office procedures, preferably in the medical environment.

Certification/Licensure: None.

Code Blue Training: Ability to activate Code Blue system by dialing 200.

May require constant sitting, requires occasional standing and walking. Occasionally lifts and carries up to 30 lb. May require pushing and pulling up to 30 lb. Eye‑hand coordination, finger and manual dexterity are required. Requires corrected hearing and vision to normal range. Requires working under stressful conditions. Some exposure to communicable diseases and hazardous materials is required. Requires occasional bending, twisting, climbing, balancing, stooping and kneeling.

Occasional reaching and overhead work are required. Requires occasional grasping. Requires the ability to distinguish letters or symbols. Ability to use office equipment such as computer terminal (PC), typewriter, telephone, copier, and fax machine.

Primarily Monday thru Friday on a scheduled shift. Weekend work and overtime may be required.