Patient Account Representative I

Under general direction, the Billing/Follow-up Rep Facility (Remote) is responsible for completing assigned tasks related to customer service, collections, cash posting, billing, and follow-up activities as directed by CBO Management. The role is expected to meet assigned quality and productivity standards.

Key responsibilities

• Respond promptly, professionally, and courteously to customer needs
• Cooperate and communicate effectively with McLaren Health Care team members
• Contribute to continuous quality improvement efforts
• Complete tasks accurately and in a timely manner
• Organize time and prioritize work effectively
• Practice cost-effective measures
• Maintain confidentiality regarding patients, the hospital, the department, and human resources
• Bill hospital and physician claims for inpatient and outpatient services within insurance filing limits
• Interpret third-party requirements and bill facility and physician services appropriately
• Maintain patient accounts in billing and claims editing systems
• Respond to patient and commercial inquiries by phone or written correspondence
• Contact insurance companies regarding unreleased, unprocessed, or outstanding bills
• Work with other departments and insurance companies to resolve billing and claim edits
• Notify analysts of edits that need to be built and denials representatives of denial trends
• Coordinate and monitor billing activities related to bone marrow transplant package pricing
• Follow up with third-party payors to obtain payment and resolve patient accounts
• Review and follow up on Age Trial Balance reports monthly
• Resolve issues involving third-party payor and self-pay claims