Patient Account Representative Professional - Requisition #119023

Infor; Marshall (MI); On-site; USD 34,000 - 50,000; Full time

Job summary

A healthcare organization is seeking a Patient Account Representative located in Marshall, MI. The candidate will handle the billing of claims to third-party payers and ensure timely processing. Responsibilities include reviewing bills for accuracy, maintaining account histories, and managing denials and appeals. Applicants should have a minimum of six months insurance billing experience, knowledge of medical terminology, and effective communication skills. This office-based role offers a chance to contribute to a vital healthcare service.

Qualifications

• Minimum 18 years of age.
• Six months previous insurance billing experience.
• Knowledge of ICD-10, CPT Coding preferred.

Responsibilities

• Responsible for daily billing of claims to third party payers.
• Processes billing daily, reviewing for correctness and completeness.
• Maintains clear history on each account according to established procedure.
• Reviews and works denials, appeals, and requests in a timely manner.
• Executes follow-up processes for accounts daily.

Skills

Knowledge of third-party billing

Knowledge of medical terminology

Computer experience and skills

Excellent verbal communication

Critical thinking skills

Job description

All CDC recommended vaccines are required vaccinations at Oaklawn. Seasonally, and upon determination of Senior leadership, the Influenza Vaccine may be mandatory; in those years, compliance is required. For all vaccines, Religious Exemptions and Medical Contraindications are available.

Job Summary

The Patient Account Representative is responsible for the daily billing of claims to third party payers, follow‑up, and “status” of claims to ensure timely and appropriate processing and payment.

Essential Functions

• Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.
• Processes billing daily, reviewing bills for correctness and completeness prior to submission.
• Maintains a clear, concise, and complete history on each account according to established procedure.
• Reviews and works denials, mail, returns, rejections, appeals, refunds and requests for additional information as per policy in a timely and accurate manner.
• Understands and performs follow‑up processes for accounts on a daily basis and works accounts according to established procedure.

Minimum Qualifications

18 years of age. Six (6) months previous insurance billing experience.

Knowledge, Skills & Abilities

Knowledge of third‑party billing and claims processing, knowledge of medical terminology, computer experience, and computer skills, including keyboarding. Knowledge of ICD‑10, CPT Coding and previous experience in a health care setting preferred. Need excellent verbal communication, interpersonal, and critical thinking skills, and the ability to adapt to frequent change.

Working Conditions

Work is generally performed within an office environment, with standard office equipment available.

Physical Requirements

Constantly sit, see/visual acuity. Frequently handle/grasp/feel, talk/hear. Occasionally lift/carry 1 to 25 lbs.

Marshall, 200 N. Madison, Marshall, MI 49068