Patient Account Representative

Talentify; Lawrence (MA); On-site; USD 26,000 - 39,000; Full time

Benefits offered by this job

Competitive pay

Robust benefits

Paid time off

Free parking

Job summary

Merrimack Health is seeking a Patient Account Representative to ensure accurate billing and timely collection of patient accounts, delivering patient-focused service and supporting hospital revenue.

Responsibilities include billing, follow-up, denial resolution, payer communications, HIPAA compliance, and using system reports to correct errors. A high school diploma and 1 year of hospital billing experience are required or preferred.

Qualifications

• High School graduate or equivalent
• Minimum 1 year of hospital facility billing experience or a graduate of a medical billing program
• Knowledge of medical coding and medical terminology preferred

Responsibilities

• Completes billing, follow up, denial resolution and appeals of accounts with payers in compliance with applicable payer and departmental guidelines and policies.
• Embraces and uses technology provided to complete daily tasks.
• Reviews all claims assigned prior to electronic submission and corrects any errors.
• Understands insurance principles, terminology and regulations. Keeps abreast of HIPAA regulations and requirements.
• Reports billing and collection trends and issues to the Coordinator.
• Communicates information regarding billing practices, insurance claims submissions, and patient responsibility to all customers in a clear, helpful and respectful manner.
• Answer calls and provides resolution for patients inquiring about their accounts.
• Works as a collaborative, constructive, cooperative team member within the Patient Financial Service Department and Hospital departments.
• Utilizes system reports to identify and correct errors to assigned accounts. Seeks direction from the Coordinator on difficult accounts.
• Assists with the reconciliation of credit balance accounts, including identification and refund processes, with the PFS Coordinator.

Skills

Billing knowledge

Education

High School diploma or equivalent

Job description

At Merrimack Health, we are committed to pay transparency and equity. The base salary range is $19.05 (Min) — $28.58 hourly (Max), excluding fringe benefits and potential bonuses.

Your final base salary will be determined based on your education, experience, licensure, and internal equity considerations. Offers are typically made below the top of the range to support future salary growth.

As the Patient Account Representative, you will be responsible for ensuring accurate and timely billing and collection of assigned patient accounts with the goal of providing patient-focused customer service and achieving the departmental goal of ensuring maximum revenue and cash flow benefit to the hospital.

Responsibility includes:

• Completes billing, follow up, denial resolution and appeals of accounts with payers in compliance with applicable payer and departmental guidelines and policies.
• Embraces and uses technology provided to complete daily tasks.
• Reviews all claims assigned prior to electronic submission and corrects any errors.
• Understands insurance principles, terminology and regulations. Keeps abreast of HIPAA regulations and requirements.
• Reports billing and collection trends and issues to the Coordinator.
• Communicates information regarding billing practices, insurance claims submissions, and patient responsibility to all customers in a clear, helpful and respectful manner.
• Answer calls and provides resolution for patients inquiring about their accounts.
• Works as a collaborative, constructive, cooperative team member within the Patient Financial Service Department and Hospital departments.
• Utilizes system reports to identify and correct errors to assigned accounts. Seeks direction from the Coordinator on difficult accounts.
• Assists with the reconciliation of credit balance accounts, including identification and refund processes, with the PFS Coordinator.

Required:

• High School graduate or equivalent
• Required with a minimum of 1 year of hospital facility billing experience or a graduate of a medical billing program.
• Knowledge of medical coding and medical terminology preferred.

Preferred:

• Knowledge of medical coding and medical terminology

Merrimack Health is a private, non-profit community hospital providing the Merrimack Valley & southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family. For over 140 years, the dedicated doctors, nurses, and staff of Merrimack Health have been committed to improving the health of the people and communities we serve. We offer competitive pay, a robust benefit package, generous paid time off and free parking! We are an Equal Opportunity Employer committed to hiring a diverse workforce.

In 2022, Healthgrades ranked MH in the top 5 percent of hospitals in the country, and was awarded a top spot on Forbes’ annual list of America’s Best-In-State Employers 2020!