Patient Account Representative I

Stanford Health Care; California (MO); On-site; USD 66,400 - 74,500; Full time

Job summary

Stanford Health Care in Palo Alto, CA is hiring a Patient Account Representative (PAR I) to handle insurance balance claims, posting payments, and follow-up on denials under supervision. This entry-level role requires a High School diploma and 1 year related experience, with strong communication and accuracy.

You will work in Epic, manage work queues, and support the business office by resolving unpaid accounts and performing basic math and confidentiality.

Qualifications

• High School diploma or GED required.
• 1 year of directly-related work experience.
• Ability to communicate professionally with payers, staff and patients.
• Knowledge of medical billing and payer landscape.

Responsibilities

• Respond to payer requests by mail or portal.
• Field incoming correspondence for the business office.
• Work in Epic and resolve work queues.
• Perform printing and mailing functions.
• Edit and submit electronic or hardcopy claims to payers.
• Follow up on denials, underpayments, or rejections.

Skills

Accounts receivable

Payer follow-up

Epic

Billing software

Education

High School diploma or GED

Tools

Epic

Job description

1.0 FTE Full time Day - 08 Hour R2658151 Onsite 108530005 Rev Cycle PFS Finance & Revenue Cycle PALO ALTO, 2465 Faber, California

Day - 08 Hour (United States of America)

Overview

The Patient Account Representative (PAR) is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. The PAR works in various capacities to support the primary goal of the business office to resolve unpaid, underpaid, denied, or unresolved patient accounts.

Responsibilities

• Accounts receivable collections and payer follow-up
• Payer basic clerical denial review and request processing
• Payment posting and batch reconciliation
• Credit balance review and resolution
• Retroactive eligibility and registration
• Underpayment reconciliation
• Client or other special billing

The PAR I is an entry-level position. Under initial close supervision, a PAR I can perform clearly defined and routine duties. A PAR I may be responsible for responding to straightforward queries or issues, and is able to recognize when to refer or elevate issues to others.

What You Will Do

• Responding to requests from the payer, such as providing medical records or other documentation either by mail or via payer portals
• Fielding incoming correspondence for the business office and distributing it appropriately
• Working in Epic; resolving work queues, finding Epic documentation, or performing other follow-up or business office-related activities
• Performing printing and mailing functions
• Electronic or hardcopy claims editing and submission to payers
• Basic claims follow up, denials, underpayments, or payer rejections

Education Qualifications

High School diploma or GED equivalent

Experience Qualifications

One (1) year of directly-related work experience.

Required Knowledge, Skills and Abilities

• Meets weekly individual productivity goals and standards while following planned priorities as set by the Team Manager
• Can maintain professional communication with various PFS staff, payers, and patients regarding the billing of services.
• Ability to follow oral and written instructions and interpret institutional and other policies accurately
• Ability to communicate clearly and professionally both verbally and in writing
• Ability to maintain confidentiality of sensitive information
• Ability to perform basic mathematics
• Ability to plan, prioritize, and meet deadlines
• Ability to work effectively with individuals at all levels of the organization
• Knowledge of accounts receivable software systems and medical billing operations
• Familiarity with medical reimbursement policies and procedures and medical terminology
• Knowledge of payer landscape, including Medicare, Medicaid, Workers’ Compensation, Managed Care, or other Commercial insurance

Licenses and Certifications

None

Equal Opportunity Employer

Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale

Generally starting at $31.94 – $35.94 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.