Patient Account Representative II

McLaren Health Care; Shelby Township (MI); On-site; USD 42,000 - 62,000; Full time

Job summary

McLaren Health Care in Michigan is seeking a Patient Accounting Representative II to support the revenue cycle team. You will perform patient accounting tasks across billing, posting, follow-up, and collections with accuracy and timeliness.

Responsibilities include reviewing and updating patient accounts, researching issues, communicating with patients and insurers, and ensuring proper documentation for compliant billing and prompt resolution.

Qualifications

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

Responsibilities

• 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.

Skills

Customer service

Finance/Accounting

Healthcare

CPT

HCPCS

ICD-10

Education

High School Diploma or GED

Associate Degree in Health Care/Finance or related area

Job description

Position Summary:

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: 26010287
• Daily Work Times: 8am - 4:30pm
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No