Patient Account Representative

Snoqualmie Valley Health; Snoqualmie (WA); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Retirement plan

EAP

Job summary

Snoqualmie Valley Health is seeking a Patient Account Representative in the Billing department. This role manages self-pay accounts, provides financial guidance to patients, and coordinates with Medicaid and financial aid programs to reduce bad debt.

Responsibilities include handling patient inquiries, posting payments, and preparing accounts for collection if needed. The position emphasizes accuracy, confidentiality, and customer-focused service in a community hospital setting.

Qualifications

• Required education: High School Diploma or GED.
• 2 years related experience and/or training, including customer service; or equivalent.
• Preferred: Knowledge of Medicare, Medicaid, and commercial insurance reimbursement rules; EPIC familiarity.

Responsibilities

• Communicate with patients and insurers over the phone in a professional manner.
• Manage and maintain accurate self-pay accounts.
• Respond to patient inquiries, disputes, and complaints regarding self-pay accounts.
• Document, post, and report payment information.
• Guide patients on self-pay options and financial assistance programs.
• Contact patients with overdue balances via phone or letter.
• Prepare accounts 120 days past due for submission to collection agencies.
• Manage self-pay credits and refunds.
• Review insurance explanations of benefits (EOB).
• Maintain patient confidentiality.
• Develop strategies to improve self-pay collections and reduce delinquency.
• Process financial aid applications.
• Collaborate with departments to resolve outstanding self-pay accounts.

Skills

Customer service

Communication skills

Problem solving

Teamwork

Attention to detail

Positive attitude

Education

High School Diploma or GED

Tools

EPIC

Job description

DEPARTMENT: Billing

CLASSIFICATION: Non-Exempt

REPORTS TO: Billing Manager

DEPARTMENT NUMBER: 795

Last Reviewed: 10/30/2026

At Snoqualmie Valley Health, we’re not just in the business of healthcare; we’re in the business of empowering our community to live boldly and live well. Our commitment to excellence and innovation calls for team members who will build trust, obsess over excellence, lead innovation, and deepen connections within our community. We are guided by our core values, and we’re looking for someone who can embody those principles as part of our dynamic and growing team.

Located in a trailblazing, adventure-loving town at the base of the Cascades, Snoqualmie Valley Health is an independent public hospital district serving a vibrant community that thrives on both adventure and connection. This is more than a job—it’s an opportunity to be part of something bigger.

JOB TITLE: Patient Account Representative

Position Summary

The Patient Account Representative manages accounts that are in the self-pay financial class, offers financial advice, and assistance to patients regarding medical bills. This person is responsible to make collection calls, manage patient payment plans, and identify patients that may be eligible for other payers. They also help secure Medicaid and/or financial aid for those that need additional financial assistance, such as those uninsured. It is of the utmost importance to display excellent customer service at all times.

Essential Functions

• Communicate with patients and insurance companies over the phone in a non-combative and professional manner.
• Manage and maintain accurate self-pay accounts of patients.
• Respond to patient inquiries, disputes, and complaints regarding self-pay accounts
• Appropriately document, post, and report payment information
• Provide guidance and assistance to patients on self-pay options and financial assistance programs
• Make telephone or letter contact with patients that have balances with no payment
• Prepare accounts 120 past due for submission to independent collection agency
• Manage self-pay credits and refunds
• Read and process insurance Explanation of Benefits (EOB)
• Maintain patient confidentiality
• HCA Volunteer Assister Program, Obtain Certificate if don’t already have it
• Develop and implement strategies to improve self-pay collection rates and reduce delinquency
• Process financial aid applications
• Knowledge of SVH collection policies
• Knowledge WA state financial aid policies
• Knowledge of the No Surprises Act and Good Faith Estimates
• Review daily Inpatient, Emergency Room, Outpatient, and clinic admissions that are Private Pay and contact them to see if they qualify for Medicaid or financial aid
• Conduct financial interviews with patients and/or family members
• Participates in data gathering for financial reporting on an as needed basis
• Provide estimates to patients for future services, i.e. out of pocket cost for Outpatient procedures
• Maintain complete records of all patients applying for indigent or financial assistance to include the application, proof of income, the acceptance/denial letter, and any other applicable documentation
• Collaborate with other departments to resolve outstanding self-pay accounts and address patient concerns
• Maintain a relationship with our collection agency and work together to find the best solution for patients
• Other duties as requested by supervisor

REQUIRED EDUCATION: High School Diploma or general education degree (GED)

REQUIRED EXPERIENCE: 2 years related experience and/or training, including customer service; or equivalent of education and experience.

PREFFERED EXPERIENCE: Knowledge of Medicare, Medicaid, and commercial insurance reimbursement rules and regulations. Familiarity with medical office management software EPIC

Additional Eligibility Qualifications

• Outstanding customer service skills
• Ability to communicate effectively with patients, families, doctors, and insurance providers.
• Strong problem-solving skills and ability to think critically.
• Ability to work independently and in a team environment.
• High level of attention to detail and accuracy.
• Positive attitude and customer-focused mindset.

WORK ENVIRONMENT: Good working conditions. Clean, well-lighted, air conditioned, heated area

PHYSICAL DEMANDS: Work effectively with patients, staff and providers. Must be in good general health and demonstrate emotional stability. Sit for long periods at a time. Must be able to work on several projects simultaneously and handle frequent interruptions

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Benefits

We believe in taking care of those who take care of our community. We’re proud to offer a comprehensive benefits package that puts your health and well-being first. With our flexible medical plan, you’ll have access to multiple in-network tiers, including top-quality care from Snoqualmie Valley Health, Eastside Health, and First Choice/First Health providers. The best part? Anyone covered under our plan can receive care at SVH at no cost! It’s all about giving you the options and support you need to experience life’s great adventures.

• Medical
• Dental
• Vision
• Pharmacy
• Life and AD&D
• Retirement Plan
• Employee Assistance Program (EAP)
• Flexible Spending Account (FSA)
• Travel Assistance & ID Theft Protection
• Pet Insurance
• Other Voluntary Benefits

Benefit Eligibility Requirements – Employees regularly scheduled at least 20 hours per week.

Employee Dependents – Your legal spouse or domestic partner; dependent children until age 26.

Waiting Period – 1st of the month from the date of hire.

Please Note

• The flu shot (during flu season) is required for employment, with exemptions available for valid medical or religious reasons.
• Snoqualmie Valley Health is a drug-free workplace. We complete drug screenings as part of our onboarding process.