Patient Account Representative Facility - Requisition #166744

Infor; Marshall (MI); On-site; USD 35,000 - 45,000; Full time

Job summary

A healthcare provider in Marshall, MI is seeking a Patient Account Representative to manage billing claims to third party payers. The role requires effective communication skills and previous insurance billing experience. Daily responsibilities include processing bills, following up on accounts, and reviewing claims for accuracy. The ideal candidate will have knowledge of third-party billing, medical terminology, and a strong ability to adapt to change. This position offers a supportive office environment.

Qualifications

• Must be 18 years of age.
• Six months previous insurance billing experience required.
• ICD-10 and CPT Coding knowledge preferred.

Responsibilities

• Responsible for daily billing of claims to third party payers.
• Processes billing daily, ensuring correctness and completeness.
• Maintains a complete history on each account as per procedure.
• Reviews and works denials and appeals in a timely manner.
• Performs daily follow-up processes on accounts.

Skills

Knowledge of third-party billing and claims processing

Knowledge of medical terminology

Computer skills, including keyboarding

Excellent verbal communication

Interpersonal skills

Critical thinking skills

Job description

All CDC recommended vaccines are required vaccinations at Oaklawn. Seasonally, and upon determination of Senior leadership, the Influenza Vaccine may be mandatory; in those years, compliance is required. For all vaccines, Religious Exemptions and Medical Contraindications are available.

Job Summary: The Patient Account Representative is responsible for the daily billing of claims to third party payers, follow-up, and “status” of claims to ensure timely and appropriate processing and payment.

Essential Functions:

• Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.
• Processes billing daily, reviewing bills for correctness and completeness prior to submission.
• Maintains a clear, concise, and complete history on each account according to established procedure.
• Reviews and works denials, mail, returns, rejections, appeals, refunds and requests for additional information as per policy in a timely and accurate manner.
• Understands and performs follow-up processes for accounts on a daily basis and works accounts according to established procedure.

Minimum Qualifications : 18 years of age . Six (6) months previous insurance billing expericence

Knowledge, Skills & Abilities : Knowledge of third-party billing and claims processing, knowledge of medical terminology, computer experience, and computer skills, including keyboarding. Knowledge of ICD-10, CPT Coding and previous experience in a health care setting preferred. Need excellent verbal communication, interpersonal, and critical thinking skills, and the ability to adapt to frequent change.

Working Conditions: Work is generally performed within an office environment, with standard office equipment available.

Physical Requirements : Constantly sit, see/visual acuity. Frequently handle/grasp/feel, talk/hear. Occasionally lift/carry 1 to 25 lbs.

Marshall, 200 N. Madison, Marshall, MI 49068