Patient Account Representative III

McLaren Health Care; Shelby Township (MI); On-site; USD 52,000 - 76,000; Full time

Job summary

McLaren Health Care is seeking a Patient Accounting Representative III in Michigan to perform advanced patient accounting and revenue cycle tasks. You will act as a subject matter expert, guiding staff on payer requirements, billing, follow-up, and account resolution.

The role includes reviewing and maintaining patient accounts, resolving insurance and patient balance issues, and ensuring accurate postings and reporting. Collaboration with various stakeholders is essential for timely resolution.

Qualifications

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

Responsibilities

• 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.

Skills

Customer service

Communication

Attention to detail

Education

High School Diploma or GED

Associate Degree in Health Care or Finance or related

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