Patient Account Representative II

mclarenhlth; Shelby Township (MI); On-site; USD 42,000 - 63,000; Full time

Job summary

McLaren Health Care in Shelby Township, MI, is seeking a Patient Accounting Representative II to manage patient accounts across billing, collections, and cash posting within the revenue cycle. You will review and update accounts, resolve claim issues, communicate with patients and insurers, and perform data entry and reporting to support accurate billing and timely reimbursements.

This role requires attention to detail, compliance with CPT/HCPCS/ ICD-10 guidelines, and the ability to collaborate

Qualifications

• High School Diploma or GED required.
• 3 years of experience in Finance/Accounting, Customer Service or Healthcare.
• Associate degree or equivalent preferred; related education considered.

Responsibilities

• Performs assigned patient accounting and revenue cycle functions accurately and timely.
• Reviews, updates, and maintains patient accounts for accurate billing and reporting.
• Resolves account issues including insurance, balances, payments, adjustments, refunds, and claims.

Skills

Communication skills

Customer service

Education

High School Diploma or GED

Associate Degree (Health Care / Finance or related)

Tools

CPT

HCPCS

ICD-10

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:

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


2. Reviews, updates, and maintains patient accounts to support accurate billing, payment posting, follow-up, collections, refunds, reporting, and account resolution.


3. Processes, researches, and resolves account issues, including insurance, patient balance, payment, adjustment, refund, documentation, and claim-related matters.


4. Communicates professionally and effectively with patients, insurance carriers, vendors, internal departments, and other customers to obtain information, resolve inquiries, and support timely account resolution.


5. Reviews insurance coverage, payer requirements, claim status, account balances, denials, edits, and other account information as needed to support billing, reimbursement, and compliance requirements.


6. 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