Patient Account Representative II

POSITION SUMMARY

The Patient Account Representative II is responsible for billing, follow-up and collection of hospital patient accounts receivable. This position is responsible for submitting clean electronic and paper claims to payers, communicating over the phone with internal and external contacts to resolve issues, providing information and taking payments. This position will be expected to use assertive follow-up techniques with third-party payors for claim resolution, including incorrect payments or denials.

Posting Closing Date:
December 30, 2025

Rate of Pay: $19.58 - $28.20 per hour based on experience

• Licensure/Certification/Registrations:None
• Education
  :
  High School Diploma or equivalent required.
• Experience
  : 2-3 years of healthcare accounts receivable experience required. Previous experience in a hospital setting with insurance billing and follow-up, contractual adjustments, Medicare/Medicaid and managed care is strongly preferred. Knowledge of Epic EHR preferred.
• Skills & Abilities:Excellent organization and customer service skills. Ability to successfully handle multiple priorities and prioritize and schedule accordingly while meeting established deadlines. Must be able to successfully and effectively communicate with a variety of personnel. Advanced communication skills, both verbal and written, are required. Ability to maintain a high degree of accuracy, demonstrate dependability and a strong attention to detail.
  
  Possess the ability to think independently, problem solve and adapt in an environment that presents multiple variables and circumstances. Strong proficiency in Microsoft Word and Excel, web navigation and understanding of patient accounting systems are required.

• Ensure proper billing of patient accounts and ensure all account receivables are monitored and third-party payors and patients are contacted to collect outstanding balances
• Monitor contracts and individual patient agreements to ensure appropriate reimbursement is received in a timely manner.
• Ensure timely filing requirements are met and claims are followed up on in a timely and appropriate manner to eliminate timely filing denials and non-payment of claims.
• Follow up on denials in a timely manner and proactively communicates any denial issues related to billing requirements.
• Follow up on unpaid/unresolved account balances as required in the work queue and notates follow-up response on patient accounts.
• Complete re-submission of claims, corrected claims, medical records requests and appeals as necessary to facilitate timely and proper claims payment.
• Effectively communicate and collaborate with Clinical Case Managers, Health Information Management, Admissions and other hospital departments for account-related issues.
• Investigate and respond to billing and collection inquiries of a complex nature. Answer inquiries and correspondence from patients and insurance companies to facilitate payment and make necessary corrections to ensure claims payment.
• Post payments and/or appropriate notes to patient accounts; processes contractual adjustments, credit balances and refunds; researches and resolves payment problems; enters data into and operates patient accounting systems.

This job description is not intended to be an exhaustive list of all duties. Employee may perform other related duties as assigned.

Benefit Eligible Positions:

At Craig Hospital, we offer a wide range of outstanding benefits that allow our employees to tailor a benefits package that meets their individual needs. Planning a family or looking forward to retirement, we have options. Our medical insurance is a self-funded plan administered by Allegiance Benefit Plans with a CIGNA network of providers offering two different comprehensive plans. We offer dental insurance through Delta Dental, and vision insurance through Eye Med.

Craig offers Health Care and Dependent Care Spending Accounts. Craig also provides, and pays for both Short Term and Long-term Disability Insurance plans for every benefit-eligible employee. We offer generous time-off benefits to allow you to enjoy your time away from work too! Additionally, we have a 403b Retirement Plan with a generous matching contribution through Empower Retirement that you are eligible for upon hire.

Want to go back to school? We have Tuition Assistance. Unexpected emergency? We have Employee Assistance Programs and an Employee Emergency Assistance Fund.

At Craig, we believe in offering best‑in‑class benefits and prioritize benefits to support you.