Patient Account Representative

Dignity Health; Stockton (CA); On-site; USD 46,000 - 53,000; Full time

Job summary

St. Joseph's Medical Center, a member of Dignity Health in Stockton, seeks a Patient Account Representative to manage billing and collections for hospital and clinic accounts.

You will follow up with insurers, patients, and providers to ensure timely payments and accurate posting. The role requires 1+ year of billing/collections experience in acute care or ambulatory settings, a High School diploma or GED, and strong knowledge of payer regulations.

Qualifications

• 1+ years billing/collections/revenue cycle experience in acute or ambulatory settings.
• Typing speed 40 WPM and Ten Key 8,000 keystrokes per hour.
• Knowledge of government and/or non-government billing and collections regulations.
• Familiarity with claim submission, follow-up, appeals, and medical terminology.

Responsibilities

• Manage billing and follow-up tasks for patient accounts for hospital and clinic facilities.
• Perform follow-up to ensure accounts are processed and paid accurately and timely.
• Verify documentation for timely billing and resolution of AR balances.
• Communicate with internal departments, payers, patients and providers as needed.
• Support AR projects and participate in training sessions related to Patient Financial Services.
• Adhere to hospital/clinic billing policies and procedures.

Skills

Billing & collections

Revenue cycle

Accounts receivable

Insurance follow-up

Detail oriented

Education

High school diploma or GED

Tools

Claims workflow systems

Revenue cycle software

Job description

Job Summary And Responsibilities

The Patient Account Representative is responsible to manage the billing and collections related tasks associated to patient accounts for hospital and clinic facilities. The primary purpose of this position is to perform timely and accurate billing and/or collections to patient's insurance carrier; these carriers may include Commercial, Managed Care, Government, and/or Third-Party carriers. This role performs follow-up activities to ensure accounts are processed and paid accurately, billed/appealed timely and to ensure other necessary actions are completed to resolve open AR balances including credit balances. May perform other duties as assigned which include; communicating with internal departments, insurance payers, patients and other healthcare providers, training, AR projects and participating in training classes and other meetings related to Patient Financial Services

• Perform necessary billing and follow-up functions as directed by department leadership.
• Demonstrate understanding of relevant terminology (e.g., financial and/or medical) required for claim processing.
• Demonstrate and maintain understanding of state, federal and third-party regulatory requirements as they apply to revenue cycle operations (e.g., o Health-care reform, state surcharges, CMS)
• Must have proficient knowledge and the ability to accurately utilize all reimbursement tools including payer contracts, claims workflow systems, and expected reimbursement software.
• Demonstrate, maintain understanding of, and comply with hospital/clinic billing policies and procedures.
• Responsible for collecting accurate information and verifying all documentation necessary for timely billing and resolution of patient accounts.

Job Requirements

Required

• High School Graduate or GED
• 1+ years experience with billing, collections, and/or Revenue Cycle operations in an acute care or ambulatory setting.
• Typing Speed 40 WPM required and Ten Key – 8,000 keystrokes per hour.
• Knowledge of Government and/or Non-Government billing and collections regulations.
• Knowledge of claim submission, claims follow-up, appeals process, and medical and billing terminology.

Where You'll Work

St. Joseph's Medical Center is a member of Dignity Health. The word dignity perfectly defines what our organization stands for showing respect for all people by providing excellent care. St. Joseph's Medical Center was founded in 1899 under the direction of the Dominican Sisters of San Rafael and is a not-for-profit, fully-accredited regional hospital with 395 beds, a physician staff of over 400 and more than 2400 employees. Specializing in cardiovascular care, comprehensive cancer services, and women and children's services, including neonatal intensive care, St. Joseph's is the largest hospital, as well as the largest private employer, in Stockton, California. Nationally recognized as a quality leader, St. Joseph's is consistently chosen as the most preferred hospital by local consumers.

One Community. One Mission. One California

Pay Range

$33.51 - $38.31 /hour