Patient Account Representative - Long Term Care

Good Shepherd Rehabilitation; Allentown (Lehigh County); On-site; USD 42,000 - 64,000; Full time

Job summary

Good Shepherd Rehabilitation seeks a billing professional to manage claims and receivables. The role involves submitting electronic and paper claims, following up with payers, posting payments, and handling customer inquiries.

Ideal candidates have an associate's degree or equivalent experience and 3–5 years in healthcare billing, with PCC experience preferred. On-site position in Allentown, PA.

Qualifications

• Associate's degree or 3 years of equivalent experience.
• 3-5 years of healthcare billing experience.
• Experience with PCC preferred.

Responsibilities

• Bill patients/residents and submit claims electronically or on paper.
• Maintain Accounts Receivable by follow-up with payers.
• Post collections, payments, and adjustments.
• Submit claims via PCC and external billing software.
• Provide face-to-face customer service as needed.
• Maintain filing and documentation per policies.

Skills

Accounts Receivable

Billing

Customer service

Education

Associate's degree

Tools

Point Click Care

Billing software

Job description

ESSENTIAL FUNCTIONS

• Bills for medical care provided to patients and/or residents by submitting claims electronically or by paper to either them or their designated third party payer. Maintains Accounts Receivables by follow-up with patients, residents, insurance companies, and other third party payers. Post collection notes, payments and adjustments by entering the appropriate codes and amounts in the Hospital’s or Nursing Homes’ Computer System.
• Bills for medical services by generating the appropriate bill jobs from Point Click Care (PCC).
• Submit claims electronically via outside vendor billing software to Medicare, Blue Cross, MA and to commercial insurance companies by reviewing and editing claims for the appropriate third party payer billing information.
• Maintains Accounts Receivables by posting the appropriate payments and adjustments.
• Performs collection follow-up with patients, residents, insurance companies and other departments of Good Shepherd by telephone and/or letter.
• Maintains appropriate files for patient accounts, charge slips, payment vouchers, payer referrals, and computer reports by ensuring that documents are completed and filed according to the Department’s policies and procedures.
• Request refunds by identifying overpayments and by completing check request form.
• Provide face‑to‑face customer service on an as need basis, by answering patient or insurance representatives questions.
• Contributes to Team Effort by accomplishing related results as needed.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education

• Associate's Degree or 3 years of equivalent experience required

Work Experience

• 3-5 years of experience in healthcare billing required