Patient Account Representative

Brookdale Senior Living in; Brentwood (TN); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical, Dental, Vision insurance

401(k)

Employee discounts

Referral program

Early access to earned wages (hourly)

Job summary

Brookdale Senior Living is seeking a Patient Account Representative (Finance) to support skilled nursing billing and patient accounts. The role requires proficiency with Medicare and insurance billing, and experience handling PCC and Waystar workflows in a high-volume environment.

You will verify patient setup, process claims, and follow up on delinquent accounts while maintaining HIPAA compliance and providing strong customer service to communities and residents.

Qualifications

• Must have High school diploma or GED with 1–3 years related billing experience.
• Prior Medicare/insurance billing experience required.
• Proficiency in Microsoft Office (Excel/Word) and familiarity with PCC and Waystar preferred.

Responsibilities

• Verify skilled nursing patient setup in PCC and bill Medicare/Managed Care/Medicaid claims.
• Follow up on past due revenue for multiple payer accounts.
• Provide customer service to communities and patients on PCC, Medicare, and billing questions.
• Perform month-end close in PCC and ensure accurate billing deadlines.

Skills

Billing knowledge

Medicare/Insurance billing

Microsoft Office (Excel/Word)

PCC (PointClickCare) experience

Waystar experience

Communication skills

Organizational skills

HIPAA compliance

Education

High school diploma or GED

Associate’s or Bachelor’s degree preferred

Tools

PCC (PointClickCare)

Waystar

Microsoft Excel

Job description

Patient Account Representative (Finance)

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity

Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status.

Part and Full Time Benefits Eligibility

• Medical, Dental, Vision insurance
• 401(k)
• Associate assistance program
• Employee discounts
• Referral program
• Early access to earned wages for hourly associates (outside of CA)
• Optional voluntary benefits including ID theft protection and pet insurance

Full Time Only Benefits Eligibility

• Paid Time Off
• Paid holidays
• Company provided life insurance
• Adoption benefit
• Disability (short and long term)
• Flexible Spending Accounts
• Health Savings Account
• Optional life and dependent life insurance
• Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan
• Tuition reimbursement

Base pay in range will be determined by applicant's skills and experience. Temporary associates are not benefits eligible but may participate in the company's 401(k) program.

Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.

The application window is anticipated to close within 30 days of the date of the posting.

Education and Experience

High school diploma or general education degree (GED) and minimum of one to three years related experience. Additional education may be substituted for years of experience requirement on a year-for-year basis up to 2 years. Associate's or Bachelor's Degree preferred.

Prior experience billing Medicare and insurance claims is required. Must have proficiency in Microsoft office including Excel and Word. Prior experience with PCC and Waystar, and experience in SNF billing is preferred.

Certifications, Licenses, and Other Special Requirements

None

Management/Decision Making

Makes standard and routine decisions based on detailed guidelines with limited independent judgment. Problems are generally solved with clear, detailed guidelines or by reporting them to a supervisor.

Knowledge and Skills

Has a basic level of skill and can follow written or verbal instructions. Has basic technical skills to complete a few repetitive and well-defined duties. Has a basic knowledge of the organization in order to answer basic questions. Full understanding of billing-related computer systems. Knowledge of insurance payers. Proficiency in computers to include Microsoft Word and Excel. Ability to organize daily activities within the office to promote timely and efficient transmission of information. Strong communication and customer service skills. Effective interpersonal and organizational skills accompanied with the ability to work with a high level of volume and detail. Ensures adherence to HIPAA and all laws pertaining to confidentiality.

Physical Demands and Working Conditions

• Standing
• Walking
• Sitting
• Use hands and fingers to handle or feel
• Reach with hands and arms
• Talk or hear
• Ability to lift: Up to 10 pounds
• Vision
• Requires interaction with co-workers, residents or vendors

Brookdale is an equal opportunity employer and a drug‑free workplace.Responsible for verifying skilled nursing patient set up in PointClickCare (PCC), billing, and follow‑up of skilled nursing Medicare, Managed Care, Medicaid, and coinsurance claims through clearing house, online portals, and via phone. Also provides related customer service for communities and/or patients.

• Perform quality assurance checks of patient information in PCC.
• Bill initial and/or adjusted skilled nursing (SNF) claims for Managed Care, Medicare, Medicare copy claims, Benefit exhaust, no pays, Medicaid, and Coinsurance through Waystar clearing house, fax, or online portals. Billing SNF Private Pay statements thorough Waystar.
• Create and bill carve out and high cost drug claims.
• Performa revenue input, claim creation, billing, and follow‑up of immunization charges to Medicare and Manage Care.
• Maintain familiarity with current and past contracts with Managed Care companies.
• Follow up on past due revenue for Medicare, Managed Care, Coinsurance, and Medicaid accounts. Maintain knowledge of past due revenue for monthly calls with communities and Finance Director.
• Support communities with PCC, Medicare/Insurance, contract, and patient account questions that may arise.
• Follow up on all SNF credit accounts to determine if refund or escheatment is due or PCC adjustment is needed.
• Process write off and refunds via Service Now and PCC.
• Perform month end closing of divested communities in PCC.
• Track all claims for monthly billing deadlines.
• Provides support for other team members as needed.

This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor.