Patient Account Representative

Harris Computer; Indiana (PA); On-site; USD 42,000 - 55,000; Full time

Job summary

Harris Computer is seeking a billing specialist to support accounts receivable and patient billing processes. The role focuses on ensuring data accuracy, timely payments, and effective communication with patients and clients.

The position requires handling inquiries, resolving discrepancies, and maintaining strict confidentiality of health information and internal data. You will work within established guidelines and contribute to the department’s adherence to contractual obligations.

Qualifications

• Billing data accuracy and verification
• Handling denials and appeals process
• Maintaining confidentiality of PHI and employee data
• Professional communication with patients and clients
• Attention to detail and adherence to guidelines

Responsibilities

• Manage work queue and aging lists to ensure timely payment of accounts.
• Verify completeness and accuracy of billing data and correct errors.
• Read and interpret denied claims and resubmit or appeal as needed.
• Review aging accounts and pursue collections per guidelines or escalate as required.
• Maintain notes and documents in files; ensure remittances meet contractual obligations.
• Audit discrepancies on patient accounts and refer adjustments as required.
• Answer inquiries from patients via telephone and resolve account questions.
• Maintain confidentiality of patient health information and internal data.
• Interact with customers/clients professionally and respond to service requests promptly.
• Contribute to department processes and align with the organization’s mission and values.

Job description

Essential Functions

• Manages work queue, aging lists, and claims correspondence to assure accurate and timely payment of accounts.
• Verifies completeness and accuracy of billing data and revises any errors.
• Reads and interprets denied claims in order to resolve discrepancies; resubmits or files appeal for reconsideration.
• Reviews aging accounts in order to collect amounts due or initiates escalation procedures for collections, according to established guidelines.
• Notes follow-up on billing records and maintains supporting documents and notes in established files; verifies that remittances meet contractual obligations.
• Audits and resolves discrepancies on patient accounts; reviews accounts for non-covered or out of network procedures and refers adjustments according to established guidelines.
• Receives telephone calls; answers inquiries and resolves patient account questions; contacts patients to obtain or relay account information.
• Requires regular and prompt attendance.
• Maintains and protects confidentiality in all aspects of patient health information, proprietary information, and employee information.
• Manages customer/client interactions in a professional manner; responds promptly to requests for service and assistance, and meets those commitments.
• Demonstrates the spirit of the philosophy, mission, and values through words and actions, and implements them into department processes, programs, and the working environment.
• Performs other duties as assigned.