Patient Account Representative Full-Time

Phoebe Physician Group, Inc.; Albany (GA); On-site; USD 42,000 - 56,000; Full time

Job summary

Phoebe Putney Memorial Hospital is seeking a detail-oriented Patient Account Representative to manage billing and follow-up of claims with insurance payors, governmental payors, and state agencies. The role supports accurate billing, timely submissions, and patient/carrier communications.

You will collaborate with precert staff, prepare daily productivity reports, and ensure adherence to payer guidelines and CMS regulations while delivering excellent customer service to patients and employers.

Qualifications

• High School Diploma or GED required.
• 2–3 years in a structured business environment required.
• 2–3 years in hospital, physician office or insurance environment preferred.

Responsibilities

• Processes and follow ups on claims for payment to insurance payors, governmental payors and state agencies.
• Prepares billing and follow ups on claims to ensure timely submission.
• Documents and revises information as needed before claims submission.
• Coordinates with precertification staff on requirements.
• Generates daily productivity reports.
• Acts as liaison between patient, employer, and carrier to resolve claim issues.
• Responds to patient inquiries within 24 hours.
• Maintains awareness of payer guidelines and CMS regulations.

Skills

Billing

Accounts receivable

Customer service

CMS rules

Education

High School Diploma or GED

Tools

ChartMaxx

Job description

Job Number:35002Location:Phoebe North CampusStreet Address:2000 Palmyra RdCity, State:Albany, GeorgiaZip Code:31701Department:PPG CBOShift:DaysJob Type:Full timePosted Date:2026-10-02Job Description Summary:Description:Job SummaryProcesses and monitors billing and follow up of claims submitted for payment to insurance payors, governmental payors and state agencies.QualificationsHigh School Diploma or GED (Required)Work Experience2 - 3 years a structured business environment (Required)2 - 3 years hospital, Physician office or insurance environment (Preferred)Licenses and CertificationsRequired Certifications/Licensures:CPAR certification or must be obtained within two years of employmentEssential FunctionsATTENTION TO BILLING DETAIL - PATIENT ACCOUNT REP:Prepares billing and follow ups on claims in a timely manner.Performs accurate and timely billing and account reviews ensuring that accurate information has been reviewed before sending to applicable payors or state agencies.Conducts account review ensuring accurate billing information, enters and revises information as needed prior to claim being submitted.Prepares adjustment bills, rebills, reprints claims and/or other source documents.Processes failed claims in biller work file according to carrier specific requirements.Coordinates with concurrent review precert nurse and/or admitting staff on precertification requirements.Prepares daily productivity reports.CUSTOMER SERVICE - PATIENT CLAIM ISSUES:Serves as liaison between patient, employer, and carrier in resolving claim issues.Communicates with patient, employer and carrier regarding claim status.Processes patient inquiry requests within 24 hours.Assists with Customer Service coverage duties as need arises.KNOWLEDGE OF BUSINESS OFFICE DEPARTMENT GUIDELINES AND PROGRAMS:Demonstrates knowledge of ever changing payer guidelines and regulations, programs and machines used.Demonstrates mastery of computer programs and office machines used. Strong Performance includes mastery of the following skills, tasks and behaviors.Creates and maintains via account notes, all correspondence, whether written or verbal, including discussion with carriers, patients or guarantors. Scans correspondence into the ChartMaxx system.Submits Medicare Credit Balance Report quarterly, necessary to ensure that Phoebe Putney Memorial Hospital remains compliant with CMS rules and regulation.Attends seminars and education relating to Medicare, Medicaid and Commercial.Attends and participates in hospital and departmental staff meetings.DOCUMENTATION:Documents and submits required information and data in a timely fashion.Clearly and accurately documents designated processes, policies, products, service offerings, etc.Ensures that documentation is tailored to expected readers / users.Uses correct terminology.Conforms to required style and format.Additional DutiesAdheres to the hospital and departmental attendance and punctuality guidelines.Performs all job responsibilities in alignment with the core values, mission and vision of the organization.Performs other duties as required and completes all job functions as per departmental policies and procedures.Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs).Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs.For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.Wears protective clothing and equipment as appropriate.