Patient Account Rep-Northpoint Pediatrics

Join Community

Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state‑of‑the‑art technology. It means getting involved in the communities we serve through volunteer opportunities and benefit initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients.

And above all, it means exceptional care, simply delivered — and we couldn’t do it without you.

The Patient Account Representative is responsible for managing all aspects of accounts receivables to ensure maximum and timely reimbursement for services performed for billing and claims. The role requires staying current on all payer‑specific regulations and procedures, providing written summaries of findings and recommendations, and maintaining a customer‑focused approach to accounts receivable management. The representative must follow established guidelines, take action to recover delinquent accounts with payers, place calls to collect and assist in maintaining Network A/R days, and follow up as needed via payer websites.

Flexibility to work from home is available after the initial training period.

• Must be knowledgeable regarding payer billing guidelines
• High School Diploma or GED required
• Adheres to all network and departmental procedures and policies
• Complies with applicable state/federal laws and the program requirements of accreditation agencies and federal, state and government health plans
• Documents all actions taken on accounts in the system account notes to ensure all prior actions are noted and understandable by others
• Ensures confidentiality of patient records
• Follows appropriate steps to resolve denials within specified timeframe
• Follows appropriate steps to resolve insurance correspondence scanned into mail queues
• Follows billing and collection procedures as outlined in policies and provides payers with the appropriate and necessary information to adjudicate claim
• Maintains A/R to meet Network set goals
• Meets productivity standards designated by the department
• Meets QA standards designated by the department
• Monitors the billing and follow‑up holds at all sources, ensures timely resolution and is responsible for keeping assigned tasks current
• Participates in monthly conference calls with specific payers

At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We proudly identify ourselves as not having employees but Caregivers. Join our Community as we make a difference in your community.

Caring people apply here.