Patient Account Representative II

McLaren Health Care; Shelby Charter Township (MI); Sur place; USD 38 000 - 54 000; Plein temps

Résumé du poste

McLaren Health Care is seeking a Patient Accounting Representative II to support billing, follow-up, cash posting and collections within our revenue cycle.

You will review accounts, resolve issues with insurance and patients, communicate professionally with carriers and departments, and maintain accurate accounting records. Schedule: Full-time, 8am–4:30pm.

Qualifications

• High School Diploma or GED.
• 3 years of 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.

Responsabilités

• Performs assigned patient accounting and revenue cycle functions accurately, timely, and in accordance with departmental standards.
• 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.

Connaissances

Customer service

Billing

Collections

Revenue cycle

Communication

Formation

High School diploma or GED

Associate degree in Health Care or Finance

Outils

CPT codes

HCPCS codes

ICD-10

Description du poste

The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer center. McLaren has 20,000 full-, part-time and contracted employees and more than 93,000 network providers throughout Michigan.

Under general direction, the Patient Accounting Representative II 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 II 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.
• 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
• 3 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: 26011322
• Daily Work Times: 8am - 4:30pm
• On Call: No

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.