Patient Account Rep II (Remote)

St. Joseph Regional Medical Center, Inc.; Lewiston (ID); On-site; USD 45,000 - 65,000; Full time

Job summary

St. Joseph Regional Medical Center, Inc. in Lewiston, Idaho, is seeking a Patient Account Representative II to support revenue cycle functions through billing, collections, cash posting, and customer service.

You will handle complex A/R, payer communications, and help drive process improvements to reduce denials and improve cash flow. The role requires strong communication, teamwork, and a solid foundation in accounting, payer guidelines, and Excel; Epic/SSI experience is a plus.

Qualifications

• High school diploma or equivalent; preferred.
• 2+ years hospital or physician business office experience.
• Solid understanding of billing regulations and payer guidelines.
• Proficiency with Excel, Word, Outlook and general accounting.

Responsibilities

• Process patient accounts through billing, collections and posting.
• Handle complex A/R, claim rejections and payer communications.
• Submit appeals and reconsiderations; manage denials and cash posting.
• Identify overpayments and reconcile payments.
• Coordinate with departments to resolve billing and cash issues.
• Support claim submission and secondary billing as needed.
• Provide training to new or existing staff.
• Identify process improvements to reduce denials and calls.

Skills

Communication skills

Leadership

Customer service

Accounting & bookkeeping

Billing regulations & payer guidelines

MS Office

Epic

SSI

10-key keypad

Root cause analysis

Education

High School Diploma or Equivalent

Tools

Epic

SSI

Microsoft Office

Job description

Description Join St. Joseph Regional Medical Center in Lewiston, Idaho—where nationally recognized quality meets small-town heart. We19re proud to be recognized for excellence and patient safety, including an “A” Hospital Safety Grade from The Leapfrog Group, inclusion in Becker’s list of “Great Community Hospitals,” and U.S. News & World Report accolades for maternity care. Here, you’ll find a teamwork-first culture, leaders who support you, and coworkers who genuinely have your back. New grads are welcome—we19re committed to training, mentoring, and helping you build confidence as you grow. And because we know great care starts with taking care of our people, we offer competitive benefits and a workplace you can feel good about. If you19re looking for a place to do meaningful work, build a career, and feel proud serving your community—you belong at St. Joe’s.

Job Summary

The Patient Account Representative II supports the revenue cycle functions of hospital and/or physician practices through advanced responsibilities in billing, collections, cash posting, and customer service. The role involves financial documentation, compliance with payer requirements, and internal coordination across departments. Representatives at this level demonstrate leadership, train staff, and contribute to continuous improvement efforts.

Essential Functions

• Accurately processes patient accounts through billing, collections, and payment posting.
• Works complex A/R, claim rejections, edits, and follow-up tasks across systems.
• Files appeals, reconsideration requests, and manages payer correspondence.
• Identifies and reconciles overpayments and unidentified payments.
• Coordinates with other departments to resolve billing, denial, or cash application issues.
• Supports claim submission, including secondary billing as necessary.
• Provides training to new or existing team members.
• Assists in identifying process improvements to streamline operations and reduce denials or call volume.
• Demonstrates initiative and leadership in daily responsibilities and projects.
• Participates in A/R clean-up and revenue recovery initiatives.
• Maintains required productivity and accuracy standards.

Knowledge/Skills/Abilities/Expectations

• Strong verbal and written communication skills.
• Ability to work independently and provide team leadership.
• High level of customer service and interpersonal interaction.
• Proficient in general accounting and bookkeeping.
• Thorough understanding of billing regulations, medical terminology, and payer guidelines.
• Proficient with Microsoft Office applications (Excel, Word, Outlook) and systems such as Epic and SSI (preferred).
• Operates 10-key pad efficiently (for cash posting functions).
• Able to analyze root causes of errors or delays to improve efficiency.
• Demonstrates professionalism, ownership, and a commitment to quality.

Qualifications

Education

• High School Diploma or Equivalent including education equivalent to completion of secondary school or demonstrated ability to perform the essential functions of the role. (Preferred)

Licenses/Certifications

• None Specified Upon Hire

Experience

• 2+ years hospital and/or physician business office experience (Preferred)