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Patient Account Representative II

Craig Hospital

Position Summary

Responsible for billing, follow-up, and collections of hospital patient accounts receivable. This role submits clean electronic and paper claims to payers, communicates with internal and external contacts to resolve issues, provides information, and takes payments. It also performs assertive follow-up with third-party payors to resolve claim issues, including incorrect payments and denials.

Responsibilities

  • Ensure proper billing of patient accounts and monitor receivables
  • Contact third-party payors and patients to collect outstanding balances
  • Monitor contracts and patient agreements to support appropriate reimbursement
  • Meet timely filing requirements and follow up on claims to reduce denials and non-payment
  • Follow up on denials and communicate billing-related denial issues
  • Work unpaid and unresolved balances in the queue and document follow-up activity
  • Resubmit claims, corrected claims, medical record requests, and appeals as needed
  • Collaborate with Clinical Case Managers, Health Information Management, Admissions, and other hospital departments
  • Respond to complex billing and collection inquiries from patients and insurance companies
  • Post payments, notes, contractual adjustments, credit balances, and refunds
  • Research payment problems and maintain accurate patient accounting records
Requirements & Qualifications
  • High school diploma or equivalent required
  • 4-5 years of healthcare accounts receivable experience required
  • Hospital billing and follow-up experience strongly preferred
  • Experience with insurance billing, contractual adjustments, Medicare/Medicaid, and managed care preferred
  • Epic EHR knowledge preferred
  • Strong organization and customer service skills
  • Excellent verbal and written communication skills
  • Ability to manage multiple priorities and meet deadlines
  • High attention to detail, accuracy, dependability, and problem-solving ability
  • Strong Microsoft Word and Excel skills
  • Knowledge of web navigation and patient accounting systems
Benefits & Perks

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Health care and dependent care spending accounts
  • Short-term disability insurance
  • Long-term disability insurance
  • Generous time off
  • 403(b) retirement plan with matching contribution
  • Tuition assistance
  • Employee assistance programs
  • Employee emergency assistance fund

Location

Colorado, US

Employment Type

Full-time

Experience Level

Senior

Remote work allowed

Yes

Posted

2 weeks ago

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