The Patient Account Representative II supports Patient Financial Services operations by resolving unpaid, underpaid, denied, or otherwise unresolved patient accounts. This role works primarily in Epic under general supervision and handles moderately complex assignments requiring critical thinking and strong knowledge of billing and reimbursement processes.
Key responsibilities include accounts receivable collections and payer follow-up, denial review and appeal processing, payment posting and batch reconciliation, credit balance resolution, retroactive eligibility and registration, underpayment reconciliation, and special billing support. The role also involves responding to payer requests for medical records or documentation, following up on unresolved accounts, resolving claim edits, reviewing payer variances, submitting claims, escalating trends, and completing basic charge corrections.
Education
- High school diploma or GED equivalent
Experience
- 2 years of progressively responsible and directly related work experience
Skills and knowledge
- Strong working knowledge of accounts receivable software systems and medical billing operations
- Familiarity with medical reimbursement policies and procedures
- Knowledge of medical terminology
- Understanding of payer environments including Medicare, Medicaid, Workers' Compensation, Managed Care, and Commercial insurance
- Ability to communicate professionally with staff, payers, and patients
- Ability to interpret policies accurately and maintain confidentiality
- Ability to perform basic mathematics
- Ability to plan, prioritize, and meet deadlines
- Ability to work effectively with individuals at all levels of the organization
Location
Sacramento, California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 weeks ago