Athena Patient Account Representative

Sullivan County Community Hospital; Benefiel Corner (IN); On-site; USD 32,000 - 42,000; Full time

Job summary

Sullivan County Community Hospital in Sullivan, IN is seeking a Full Time Clerical professional to support billing operations and patient inquiries. The role requires a high school diploma and emphasizes accurate claims processing, payer follow-up, and cross-training across responsibilities.

Ideal candidates bring familiarity with office equipment, solid written and oral communication, and the ability to work independently under time constraints while maintaining a customer-focused approach.

Qualifications

• High school graduate or equivalent required.
• Athena experience preferred and knowledge of office operations.
• Understanding of third party billing and Medicare/Medicaid billing.
• Commitment to customer service and responding to patient inquiries.
• Experience using office equipment and ability to adapt to workload changes.
• Excellent written and oral communication skills.
• Ability to work independently with minimal supervision.
• Strong cross-training attitude across tasks.

Responsibilities

• Review and correct claims issues identified in inhouse hold and claim scrubbing holds.
• Send clean, timely claims on first billing.
• Reconcile desktops to ensure upfront rejection of claims is processed and resubmitted correctly.
• Review outstanding accounts receivable using ATB, queues, and payment reports.
• Submit timely and accurate adjustments with documented activity in accounts.
• Understand and manage denials, submitting timely disputes and appeals.
• Follow up with payors to ensure claims are processed and paid per contract.
• Understand payor contracts, revenue codes, CPT codes, modifiers, and payor-specific guidelines.
• Investigate and report denial trends with payer documentation for action planning.
• Provide back-up phone support to billing lines daily.

Skills

Athena experience

Office operations

Third party billing

Medicare/Medicaid billing

Customer service

Office equipment

Adaptability

Communication skills

Independence

Cross-training

Education

High school graduate or equivalent

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Clerical Sullivan, IN, US

QUALIFICATIONS

Education

• High school graduate or equivalent

Experience/Skills

• Athena experience preferred


• Possesses knowledge of business office operations


• Understands third party billing requirements


• Understands Medicare/Medicaid inpatient and outpatient billing


• Strives for customer satisfaction when responding to all patient/customer inquires (internal customers)


• Experience using office equipment


• Adapts professionally to changes in procedures and/or workload


• Possesses excellent written and oral communication skills


• Works independently with little supervision


• Remains committed to a “cross training” philosophy for all assigned tasks

Working Conditions

• Works in a well-ventilated, well-lit general office environment


• Works well under pressure with attention to time constraints

ROUTINE RESPONSIBILITIES

• Consistently complies with established Behavioral Expectations


• Reviews, identifies, and corrects claims issues identified in inhouse hold and the claim scrubbing holds


• Sends clean, timely claims out on first billing


• Works reconciliation desktops to ensure upfront rejection of claims are processed and resubmitted to correct payer


• Reviews assigned outstanding accounts receivable by using ATB, queues, and payment reports


• Submits timely and accurate adjustments documenting activity in account


• Understands and manages denials, submitting timely disputes and appeals


• Follows up with insurance companies to ensure claims are processed and paid correctly according to contract


• Understands payor contracts and billing guidelines. revenue codes, cpt codes, modifiers, and payor-specific guidelines


• Investigates and reports claims denial trends with payer documentation for departments to review and establish action plan


• Provides back-up phone support to billing lines daily