Patient Accounting

Phoebe Sumter Medical Center; Albany (GA); On-site; USD 42,000 - 60,000; Full time

Job summary

Phoebe Putney Memorial Hospital in Albany, GA seeks a full-time Patient Account Representative to manage billing and follow-up on insurance and government payors. The role requires attention to billing detail, effective communication with patients and carriers, and up-to-date knowledge of payer guidelines.

The position focuses on timely coding and submission, audit-ready documentation, and collaboration with precertification and admitting staff.

Qualifications

• High School Diploma or GED is required.
• 2 - 3 years in a structured business environment is required.
• 2 - 3 years in hospital, physician office, or insurance environment is preferred.

Responsibilities

• Prepares billing and follow ups on claims in a timely manner.
• Performs accurate and timely billing and account reviews ensuring accurate information before sending to payors or state agencies.
• Conducts account reviews and revises information as needed prior to submission.
• Prepares adjustment bills, rebills, reprints claims and/or other source documents.
• Processes failed claims in the biller work file according to carrier requirements.
• Coordinates with concurrent review precert nurse and/or admitting staff on precertification requirements.
• Prepares daily productivity reports.
• Serves as liaison between patient, employer, and carrier to resolve claim issues.
• Communicates with patient, employer and carrier regarding claim status.
• Documents and maintains via account notes all correspondence.
• Attends seminars and education relating to Medicare, Medicaid and Commercial.
• Maintains current knowledge in present areas of responsibility.

Education

High School Diploma or GED

Job description

## Patient AccountingApply: Phoebe North Campus: Full time: Posted Today: End Date: October 18, 2026 (2 days left to apply): 35238**Job Number:**35238**Location:**Phoebe North Campus**Street Address:**2000 Palmyra Rd**City, State:**Albany, Georgia**Zip Code:**31701**Department:**PPMH PATIENT ACCOUNTING**Shift:**Days**Job Type:**Full time**Posted Date:**2026-10-15**Job Description Summary:**Processes and monitors billing and follow up of claims submitted for payment to insurance payors, governmental payors and state agencies.**Description:**Job SummaryProcesses and monitors billing and follow up of claims submitted for payment to insurance payors, governmental payors and state agencies.QualificationsHigh School Diploma or GED (Required)Work Experience2 - 3 years a structured business environment (Required)2 - 3 years hospital, Physician office or insurance environment (Preferred)Licenses and CertificationsRequired Certifications/Licensures:CPAR certification or must be obtained within two years of employmentEssential FunctionsATTENTION TO BILLING DETAIL - PATIENT ACCOUNT REP:Prepares billing and follow ups on claims in a timely manner.Performs accurate and timely billing and account reviews ensuring that accurate information has been reviewed before sending to applicable payors or state agencies.Conducts account review ensuring accurate billing information, enters and revises information as needed prior to claim being submitted.Prepares adjustment bills, rebills, reprints claims and/or other source documents.Processes failed claims in biller work file according to carrier specific requirements.Coordinates with concurrent review precert nurse and/or admitting staff on precertification requirements.Prepares daily productivity reports.CUSTOMER SERVICE - PATIENT CLAIM ISSUES:Serves as liaison between patient, employer, and carrier in resolving claim issues.Communicates with patient, employer and carrier regarding claim status.Processes patient inquiry requests within 24 hours.Assists with Customer Service coverage duties as need arises.KNOWLEDGE OF BUSINESS OFFICE DEPARTMENT GUIDELINES AND PROGRAMS:Demonstrates knowledge of ever changing payer guidelines and regulations, programs and machines used.Demonstrates mastery of computer programs and office machines used. Strong Performance includes mastery of the following skills, tasks and behaviors.Creates and maintains via account notes, all correspondence, whether written or verbal, including discussion with carriers, patients or guarantors. Scans correspondence into the ChartMaxx system.Submits Medicare Credit Balance Report quarterly, necessary to ensure that Phoebe Putney Memorial Hospital remains compliant with CMS rules and regulation.Attends seminars and education relating to Medicare, Medicaid and Commercial.Attends and participates in hospital and departmental staff meetings.DOCUMENTATION:Documents and submits required information and data in a timely fashion.Clearly and accurately documents designated processes, policies, products, service offerings, etc.Ensures that documentation is tailored to expected readers / users.Uses correct terminology.Conforms to required style and format.Additional DutiesAdheres to the hospital and departmental attendance and punctuality guidelines.Performs all job responsibilities in alignment with the core values, mission and vision of the organization.Performs other duties as required and completes all job functions as per departmental policies and procedures.Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs).Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs.For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.Wears protective clothing and equipment as appropriate.