Patient Account Representative III

McLaren Health Care; Shelby Charter Township (MI); Presencial; USD 52 000 - 64 000; Tempo integral

Resumo da oferta

McLaren Health Care in Michigan seeks a Patient Accounting Representative III to handle advanced billing, follow-up, and revenue cycle tasks within the patient accounting team.

The role requires 5 years in Finance/Accounting, Customer Service, or Healthcare, a high school diploma or GED, and knowledge of CPT/HCPCS/ICD-10; associate degree preferred.

You will serve as subject matter expert, ensure accurate posting and account resolution, and collaborate with patients, insurers, and internal teams.

Qualificações

• High school diploma or GED required.
• 5+ years of experience in Finance/Accounting, Customer Service or Healthcare.
• Associate degree preferred; equivalent combination acceptable.

Responsabilidades

• Perform advanced patient accounting and revenue cycle tasks accurately.
• Act as subject matter expert for accounting processes and payer requirements.
• Review and maintain patient accounts to support billing, posting, and resolution.
• Research and resolve account issues including insurance and adjustments.
• Provide guidance to staff on workflow and departmental procedures.

Conhecimentos

Customer service

Finance/Accounting

Healthcare knowledge

Formação académica

High School Diploma or GED

Associate Degree in Health Care, Finance or related area

Ferramentas

CPT/HCPCS/ICD-10 knowledge

Descrição da oferta de emprego

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 III 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 III is expected to perform assignment tasks within the quality and productivity standards assigned to position responsibilities. Employees in this position perform advanced patient accounting responsibilities and may serve as the department’s subject matter expert for assigned revenue cycle functions.

Essential Functions and Responsibilities as Assigned

• Performs advanced and complex patient accounting and revenue cycle functions accurately, timely, and in accordance with departmental standards.
• Serves as a subject matter expert and resource to department staff regarding patient accounting processes, payer requirements, account resolution, billing, follow-up, payment posting, refunds, reporting, documentation, and related revenue cycle functions.
• Reviews, updates, and maintains patient accounts to support accurate billing, payment posting, follow-up, collections, refunds, reporting, and account resolution.
• Processes, research, and resolves account issues, including insurance, patient balance, payment, adjustment, refund, documentation, and claim-related matters.
• Provides guidance, support and assistance to staff regarding workflow questions, account issues, payer requirements and departmental procedures.
• Communicates professionally and effectively with patients, insurance carriers, vendors, internal departments, and other customers to obtain information, resolve inquiries, and support timely account resolution.

Qualifications

Required

• High School Diploma or GED
• 5-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: 26011323
• 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.