Patient Account Representative II

Mclaren-Health-Care; Shelby Charter Township (MI); On-site; USD 36,000 - 52,000; Full time

Job summary

McLaren Health Care in Michigan seeks a Patient Accounting Representative II to support billing, collections and revenue cycle workflows. You will perform data entry, posting, follow-up and account resolution while maintaining accuracy and compliance standards.

Under the direction of CBO Management, you will review insurance coverage, payor requirements and denials, communicate with patients and insurers, and ensure timely cash posting and reconciliations for a busy health systems finance team.

Qualifications

• High School Diploma or GED required.
• 3 years of experience in Finance/Accounting, Customer Service or Healthcare.
• Preferred: Associate degree in Health Care, Finance or related area.
• Knowledge of CPT, HCPCS and ICD-10 preferred.

Responsibilities

• Performs patient accounting and revenue cycle tasks accurately and on time.
• Reviews and maintains patient accounts to support billing, posting and collections.
• Resolves account issues including insurance, balances, payments and refunds.
• Communicates with patients, insurers, vendors and internal teams to resolve inquiries.
• Checks coverage, payer rules, claim status, denials and edits for compliance.
• Completes data entry, scanning, reporting and reconciliation to keep records accurate.

Skills

Finance/Accounting experience

Customer service

Healthcare knowledge

Communication skills

Education

High School Diploma or GED

Associate degree in Healthcare/Finance or related field

Equivalent combination of education and experience

Tools

CPT/HCPCS/ICD-10 knowledge

Job description

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, 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 centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.

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: 26010349
• Daily Work Times: 8am - 4:30pm
• On Call: No

Equal Opportunity Employer

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.

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout 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 classificationprotected by law.