Patient Account Representative

Wickenburg Community Hospital; Wickenburg (AZ); On-site; USD 42,000 - 54,000; Full time

Job summary

Wickhosp in Wickenburg, AZ is seeking a Patient Account Representative to handle billing and collections of outstanding insurance balances. The role focuses on timely filing, payer communication, and resolving denials to ensure accurate reimbursement.

You will work with billers, coding, registration, and other staff, adhering to policies and procedures. Strong attention to detail and prior Medicare/AHCCCS knowledge are preferred.

Qualifications

• High school diploma or equivalent.
• Two+ years of insurance claims processing in a medical setting.
• Two+ years of healthcare collection experience.
• Knowledge of Medicare, AHCCCS and Commercial Insurances.
• Computer literate with Windows Basics, experience with EHR and Electronic billing practices.
• Professional Appearance and Conduct.

Responsibilities

• Bill and/or rebill insurance claims within payer timely filing limits.
• Review accounts and attempt to collect outstanding insurance balances.
• Check payer websites and/or call payers for updated claim statuses.
• Resolve payer denials by submitting corrected claims or appeals.
• Escalate payer issues to Patient Accounts Manager and join payer meetings.
• Coordinate with billers/collectors, Self Pay collections team, coding, registration, cash posting, and other hospital staff.
• Follow collection policies and procedures.

Skills

Insurance claims processing

Healthcare collection

Attention to detail

Team collaboration

Education

High school diploma or equivalent

Tools

EHR

Electronic billing

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Business Office Full Time Clerical Main, Wickenburg, AZ, US

3 days ago Requisition ID: 1775

General Description

The Patient Account Representative is responsible for billing and collecting outstanding insurance balances in a timely manner.

• Bill and/or rebill insurance claims within payer timely filing limits
• Review all accounts within assigned inventory and attempt to collect outstanding insurance balances
• Check payer websites and/or call payers for updated claim statuses and processing
• Resolve payer denials by submitting corrected claims or appeals
• Escalate payer issues to Patient Accounts Manager and join payer meetings
• Coordinate with billers/collectors, Self Pay collections team, coding, registration, cash posting, and other hospital staff
• Follow collection policies and procedures

Other (Non-Essential) Job Duties

• Maintain notes in patient accounts for all actions taken
• Works as a team member within the business office
• Attends in-service training and education sessions, as assigned
• Performs specific work duties and responsibilities assigned by supervisor

Minimum Qualifications

• High school diploma or equivalent required
• Two or more years of insurance claims processing in a medical setting
• Two or more years of healthcare collection experience required
• Knowledge of Medicare, AHCCCS and Commercial Insurances
• Computer literate with Windows Basics, experience with EHR and Electronic billing practices
• Professional Appearance and Conduct

Preferred Qualifications

• ICD 10, CPT Coding, and Medical Terminology

Physical Requirements / Working Conditions

• Must be able to sit for long periods. Must be able to operate standard office equipment. Must be able to lift and carry up to 20 lbs. Must be able to work paying close attention to detail with frequent interruptions.