The Patient Accounts Representative 4 is an important part of the health system's revenue cycle. This production-based role works an assigned queue to coordinate with patients, coworkers, and external agencies to ensure prompt payment and reimbursement of hospital and professional charges.
The position supports customer service, billing, collections, payment processing, credit balance work, claims follow-up, and appeal/denial filing with managed care companies. It also serves as a subject matter expert, supporting team members, collaborating with leadership, and helping identify process improvements.
Key responsibilities include reviewing accounts in EPIC, resolving balance and credit issues, posting payments and adjustments, maintaining complete account notes, researching payer and reimbursement issues, and contributing to workflow updates and special projects.
Applicants should have 8 years of experience in revenue cycle or hospital business office functions such as customer service, billing, and follow-up, or equivalent industry experience.
Education substitutions may apply:
- Related certification in billing, medical office, coding, or accounting may substitute for 1 year of experience
- Bachelor's degree may substitute for 4 years of experience
- Associate's degree may substitute for 2 years of experience
- High school diploma or equivalent required
Additional qualifications:
- Knowledge of ICD-9/10, CPT, and HCPCS coding
- Understanding of explanation of benefits from various managed care companies and regulations
- Strong critical thinking and problem-solving skills
- Communication, interpersonal, teamwork, and collaboration skills
Location
Baton Rouge, Louisiana, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
3 weeks ago