Patient Account Representative III

McLaren Health Care; Shelby Township (MI); On-site; USD 52,000 - 72,000; Full time

Job summary

McLaren Health Care in Michigan seeks a Patient Accounting Representative III to perform advanced revenue cycle tasks, including billing, follow-up, posting, and refunds. You'll serve as a subject matter expert guiding staff and resolving complex account issues in coordination with payers.

The role requires strong knowledge of patient accounting processes and payer requirements, with a track record of accuracy, productivity, and professional communication.

Qualifications

• High School Diploma or GED required.
• 5+ years in Finance/Accounting, Customer Service or Healthcare.

Responsibilities

• Performs advanced patient accounting and revenue cycle functions accurately and timely.
• Acts as subject matter expert for patient accounting processes and payer requirements.
• Reviews and maintains patient accounts to support accurate billing and posting.
• Researches and resolves account issues including insurance, balances, and refunds.
• Provides guidance to staff on workflow and departmental procedures.
• Communicates professionally with patients, insurers, vendors and internal departments.

Skills

Customer service

Revenue cycle knowledge

Education

High School Diploma or GED

Associate degree in Health Care or Finance

Tools

CPT

HCPCS

ICD-10

Job description

Position Summary:

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: 26010294
• Daily Work Times: 8am - 4:30pm
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No