Patient Account Representative III

mclarenhlth; Shelby Township (MI); On-site; USD 45,000 - 75,000; Full time

Job summary

McLaren Health is seeking an experienced Patient Accounting Representative III to handle advanced revenue cycle tasks, including billing, follow-up, and payment posting. You will serve as a subject matter expert, guiding staff on payer requirements and account resolution.

The role requires a background in Finance/Accounting or Healthcare with strong accuracy and communication skills to resolve complex issues and ensure timely reimbursements.

Qualifications

• 5 years of experience in Finance/Accounting, Customer Service or Healthcare.
• High School Diploma or GED.
• Associate Degree in Health Care, Finance or related area, or equivalent combination of education and experience.
• 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

Finance/Accounting

Customer Service

Healthcare

Education

High School Diploma

Associate Degree

Equivalent combination of education and experience

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:

1. Performs advanced and complex patient accounting and revenue cycle functions accurately, timely, and in accordance with departmental standards.
2. 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.
3. Reviews, updates, and maintains patient accounts to support accurate billing, payment posting, follow-up, collections, refunds, reporting, and account resolution.
4. Processes, research, and resolves account issues, including insurance, patient balance, payment, adjustment, refund, documentation, and claim-related matters.
5. Provides guidance, support and assistance to staff regarding workflow questions, account issues, payer requirements and departmental procedures.
6. 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