Patient Account Representative II

Mountain Region Support; Centennial (CO); Hybrid; USD 42,000 - 56,000; Full time

Job summary

CommonSpirit is seeking a Patient Account Representative II to resolve complex regulatory and commercial accounts, analyze EOBs, and manage credits and refunds, contributing to the organization's financial health.

This role requires strong analytical and problem-solving skills, meticulous attention to detail in financial reconciliation, and knowledge of billing regulations. Remote work up to 100% for Colorado residents, with on-site meetings at the Mineral campus in Centennial, CO when needed.

Qualifications

• High School Diploma or GED required.
• Two years of computer experience and strong customer service.
• Healthcare office experience and medical terminology preferred.

Responsibilities

• Review accounts to resolve regulatory and commercial issues.
• Research outstanding balances by coordinating with peers, vendors and patients.
• Collaborate with facility peers to resolve edits or obtain information for collections.
• Investigate issues to facilitate timely account resolution.
• Use problem-solving to coordinate with revenue management on billing issues.
• Generate letters to patients for COIs or to obtain additional details.

Skills

Analytical skills

Problem solving

Attention to detail

Customer service

Computer experience

Medical terminology

Education

High School Diploma/G.E.D.

Job description

Job Summary and Responsibilities

As our Patient Account Representative II, you will resolve complex regulatory and commercial accounts, meticulously analyze EOBs to problem-solve outstanding accounts, and manage credit balances and necessary refunds.
Every day you will facilitate in-depth analysis and research of Explanation of Benefits (EOBs), identify root causes for outstanding balances, and ensure accurate and compliant resolution of patient accounts, contributing to the financial health of the organization.
To be successful in this role, you will possess strong analytical and problem-solving skills, meticulous attention to detail in financial reconciliation, a deep understanding of regulatory and commercial billing, and the ability to effectively resolve complex patient account issues.

• Performs account review to resolve regulatory and commercial accounts.
• Researches outstanding accounts by partnering with peers, vendors, and patients.
• Partners with facility peers to resolve any edits or communicate any additional information needed to collect outstanding accounts.
• Researches outstanding issues to assist in the facilitation of timely account resolution.
• Utilizes problemsolving skills to coordinate with the revenue management team on issues that may arise as it pertains to billing.
• Generates letters to patients for COBs or to obtain additional account information.

This position has the ability to work remote 100% for Colorado residents; however will have to go on-site (Mineral campus in Centennial Co.) for in person meetings and or if experiencing Internet or computer issues.

Job Requirements

Required

• High School Diploma/G.E.D.
• Two (2) years computer experience, strong customer service skills

Preferred

• Prior office experience in a healthcare environment, medical terminology, and the ability to multitask and prioritize

Where You’ll Work

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.