Patient Account Representative I

McLaren Health Care; Shelby Township (MI); On-site; USD 36,000 - 42,000; Full time

Job summary

McLaren Health Care is seeking a Patient Accounting Representative I to support billing, posting and collections within the revenue cycle. The role focuses on accuracy, timely task completion, and adherence to department standards.

Responsibilities include updating patient accounts, handling insurance communications, resolving balance issues, and ensuring compliant, orderly record-keeping. Strong attention to detail and effective communication with patients and carriers are essential for success.

Qualifications

• High School Diploma or GED required.
• 1 year of experience in Finance/Accounting, Customer Service or Healthcare required.
• Associate Degree in Health Care, Finance or related area preferred.
• Equivalent combination of education and relevant experience may be considered.

Responsibilities

• Performs assigned patient accounting and revenue cycle functions accurately, timely, and in accordance with departmental standards.
• Completes all assigned tasks and responsibilities of Patient Accounting Representative I accurately and in a timely manner.
• Reviews, updates, and maintains patient accounts to support accurate billing, payment posting, follow-up, collections, refunds, reporting, and account resolution.
• Processes, researches, and resolves account issues, including insurance, patient balance, payment, adjustment, refund, documentation, and claim‑related matters.
• Communicates professionally and effectively with patients, insurance carriers, vendors, internal departments, and other customers to obtain information, resolve inquiries, and support timely account resolution.
• Reviews insurance coverage, payer requirements, claim status, account balances, denials, edits, and other account information as needed to support billing, reimbursement, and compliance requirements.
• Completes data entry, documentation, scanning, indexing, reporting, reconciliation, and other administrative tasks necessary to maintain accurate patient accounting records.

Skills

Customer service

Communication

Attention to detail

Healthcare terminology

Education

High School Diploma or GED

Associate Degree in Health Care, Finance or related area

Equivalent combination of education and relevant experience

Job description

Position Summary

Under general direction, the Patient Accounting Representative I is responsible for completing tasks associated with specific assignments. Specific job responsibilities will be in customer service, collections, cash posting, billing, etc. as assigned by CBO Management. Patient Accounting Representative I is expected to perform assignment tasks within the quality and productivity standards assigned to position responsibilities.

Essential Functions and Responsibilities as Assigned

• Performs assigned patient accounting and revenue cycle functions accurately, timely, and in accordance with departmental standards.
• Completes all assigned tasks and responsibilities of Patient Accounting Representative I accurately and in a timely manner.
• Reviews, updates, and maintains patient accounts to support accurate billing, payment posting, follow-up, collections, refunds, reporting, and account resolution.
• Processes, researches, and resolves account issues, including insurance, patient balance, payment, adjustment, refund, documentation, and claim‑related matters.
• Communicates professionally and effectively with patients, insurance carriers, vendors, internal departments, and other customers to obtain information, resolve inquiries, and support timely account resolution.
• Reviews insurance coverage, payer requirements, claim status, account balances, denials, edits, and other account information as needed to support billing, reimbursement, and compliance requirements.
• Completes data entry, documentation, scanning, indexing, reporting, reconciliation, and other administrative tasks necessary to maintain accurate patient accounting records.

Qualifications

Required:

• High School Diploma or GED
• 1 year experience in Finance/Accounting, Customer Service or Healthcare

Preferred:

• Associate Degree in Health Care, Finance or related area. Equivalent combination of education and relevant experience.
• Working knowledge of CPT, HCPCS, and ICD-10

Additional Information

• Schedule: Full-time
• Requisition ID: 26010293
• Daily Work Times: 8am - 4:30pm
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No