Patient Account Representative

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Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice, and a network of physician practices across the island. We focus on compassionate care, evidence‑based practice, and improving outcomes for every patient, every time.

Under the direction of the Supervisor, the Patient Account Representative is responsible for accurate and timely hospital billing, follow‑up, collections, cash processing, and customer service related activities.

• Reviews, corrects, and approves all primary and secondary billing, submitting hard copy or electronic claims to appropriate payors.
• Reviews and edits any rejections from electronic billing submissions and corrects and resubmits claims as required.
• Verifies accuracy of patient insurance and demographic information.
• Generates bills to patients for services not covered by insurance.
• Investigates duplicate payments and takes appropriate action to resolve them, including initiating refund requests when necessary.
• Performs follow‑up on all outstanding accounts assigned in accordance with established standards and procedures.
• Follows up on payer payment variances and applies managed care contract rules to determine payment accuracy; reports trends of payer behavior.
• Determines reason for denial and appeals accounts as necessary.
• Responds to all requests for information and telephone inquiries from patients, insurance carriers, physician offices, and outside agencies in a courteous manner.
• Is cross‑trained in all phases of third‑party billing, follow‑up, cash, credit, collections, and customer service related activities.
• Establishes and demonstrates competency in accounts receivable systems and associated applications.

• High School diploma or equivalent required; medical trade school preferred.
• One year of healthcare experience desired; requires three to six months of on‑the‑job training to become familiar with billing practices and policies.
• Ability to interpret third‑party coverage and institution's charges (rates) to patients.
• Ability to communicate effectively with others.
• Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm.
• Demonstrated competency operating a personal computer.
• Excellent verbal and written skills for communicating with internal staff, customers, and representatives from external departments and agencies.

USD $21.00 - USD $34.00 /Hr. This range serves as a good faith estimate; actual pay will encompass factors such as qualifications, skills, competencies, and experience. The salary does not include bonuses, incentives, or other forms of compensation and does not include the value of benefits.

Seniority level: Not Applicable

Employment type: Full‑time

Job function: Health Care Provider

Industries: Hospitals and Health Care

Location:

Melville, NY.

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