Patient Account Rep I
Northern Michigan Hospital
 Shelby, MI

Under general direction, the Patient Accounting Representative is responsible for completing tasks associated with specific assignments. Specific job responsibilities will be in billing and follow-up as assigned by CBO Management. Patient Accounting Representative is expected to perform assignment tasks within the quality and productivity standards assigned to position responsibilities.

BILLING: Responsible for billing hospital and physician claims, for inpatients and outpatients treated in the hospital and clinic, on behalf of the patient, within insurance time filing limits.

  • Interprets third party requirements and appropriately bills for facility and physician services within time filing requirements.
  • Performs necessary maintenance to patient accounts in the billing and claims editing systems.
  • Responds timely to all patient and commercial inquiries either by phone or by written correspondence regarding patient accounts.
  • Contacts insurance companies regarding unreleased and unprocessed bills.
  • As assigned, Patient Rep will be responsible for developing relationships and working with respective vendors in a timely and professional manner.
  • Works with other departments and insurance companies to resolve bill/claim edits.
  • Notify Analyst of edits that needs to be built and Denials Rep for denial trends.

FOLLOW UP: Responsible for follow-up with third party payors for inpatients and outpatients treated in the hospital and clinic necessary to obtain payment and/or a resolution of patient accounts within insurance time filing limits.

  • Performs necessary maintenance to patient accounts in the hospital and claims editing systems.
  • Responds timely to all patient and commercial inquiries either by phone or by written correspondence regarding patient accounts.
  • Contacts insurance companies regarding outstanding insurance bills.
  • Follows-up on Age Trial Balance Report monthly.
  • As assigned, Patient Rep will be responsible for developing relationships and working with respective vendors in a timely and professional manner.
  • Notify Analyst of edits that needs to be built and Denials Rep for denial trends.

Minimum:

  • High School Diploma or GED
  • Proven skills in Microsoft Office, specifically Excel and Word, Window based applications, and 10 key calculator with high level of quality outcome.

Preferred:

  • Associate Degree in Health Care, Finance or related area. Equivalent combination of education and relevant experience.
  • Working knowledge of CPT, HCPCS, and ICD-10
  • One year experience in hospital financial or patient service
  • Typing 35 wpm

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans