Patient Account Representative II​/Biller

Date: Sep 10, 2026

Location: Indianapolis, IN, US, 46202

Organization: HHC

Sub-Division:Hospital

Schedule
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Full Time

Shift
:

Days

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.

Non-Exempt

The Patient Account Representative II/Biller provides timely and accurate billing to facilitate optimized reimbursement, research, and performance improvement initiatives. This includes the verification of billing data for accuracy and completeness, following regulatory requirements, and in order to resolve edits or exceptions detected during system processing of the claim in the patient account system, claim editing system or the payor, reviewing the medical, facility protocol, other applicable documentation, and the understanding of payor denials, appeal, process, and credit balances.

• Responsible for the resolution of credit balances that have an outstanding low balance for hospital accounts, in compliance with Federal and State regulatory guidelines for timely turnaround of resolution.
• Serves as a resource to other departments to resolve problems and expedite billing and collection processes
• Responsible for resolving claim edits for low dollar hospital accounts while adhering to payor guidelines and regulations
• Responsible for identifying and trending payor rejections and denials, and also implements system process improvements to prevent future rejections and denials
• Answers e-mails and voicemails on a timely basis
• Aide and assist on special projects, including providing coverage for team members who are out of the office
• Keeps up to date on account billing and collection rules and regulations, contract terms, and conditions with regards to timely filing and service pre-certifications and authorizations
• Makes phone calls to patients and insurance companies to obtain information required to resolve patient accounts
• Updates job knowledge by participating in educational opportunities; reading professional publications.
• Works efficiently under pressure, acts independently, and accepts responsibility for decisions
• Participates in monthly staff meetings to educate new payor habits and etc. as needed
• Completes payor appeals based on under payment, timely filing, medical necessity, and prior authorizations
• Works proactively with departments, and resolves billing and/or issues; resolves Do Not Bill (DNB) errors and warnings, claim edit resolution.
• Review and maintain AR denials to ensure KPI measurements are met and/or exceeded; KPI’s are as follows: maintain AR days under 35, days in credit balance less than 1 day of AR, days in denial less than 1 day of AR, and outstanding claims are billed within 7 days of erroring out in the system
• Works with management when contract variances are identified
• Works assigned patient accounts in a credit balance and claims to resolution
• Performs accurate data entry for required information in the various management systems
• Completes refund packet within the OnBase imaging system
• Maintains weekly Excel spreadsheet of refunds processed
• Researches and resolves issues with balancing and posting of patient revenue within multiple systems
• Reconciliation of all transactions within the patient accounting system

• Associate degree in business-related field preferred
• Two years of accounts receivable experience in a hospital billing environment or two to three years in a financial institution, may be…