Patient Accounts Representative

Talentify; Kenosha (WI); On-site; USD 35,000 - 48,000; Full time

Job summary

A healthcare billing role requiring high school education and at least six months of hospital billing experience. The role involves submitting claims, verifying eligibility, and following up on denials.

Strong English communication, multitasking, and familiarity with billing software are essential. Responsibilities include reviewing documentation, inputting data, and ensuring timely reimbursement while adhering to hospital policies.

Qualifications

• Ability to read, write, hear, speak, and comprehend English.
• Exceptional communication skills with patients and staff.
• Handle fluctuating daily work assignments based on patient census volume.
• Healthcare billing/collections experience preferred.
• Knowledge of telephone etiquette, typing, computers, and basic office equipment.
• Able to lift up to 25 pounds for up to 5% of the day.

Responsibilities

• Independently perform insurance claims billing, follow-up, and appeals.
• Understand medical billing, terminology, and coding to ensure accurate reimbursement.
• Communicate courteously with patients and staff via phone and in person.
• Maintain billing records and use billing software effectively.
• Stay updated on billing guidelines and work queues.

Skills

English proficiency

Communication skills

Phone etiquette

Typing

Computer skills

Light physical effort

Education

High School Diploma or GED

Tools

Billing software

Job description

POSITION PURPOSE

• Prepares and submits properly executed claims to appropriate payers on a timely basis while ensuring payer-specific billing requirements are met. Verifies insurance eligibility while resolving any issues related to open claims to ensure an accurate and timely payment. Follows up on billing, reviews denials, submits appeals and reconsiderations as needed, determines and applies appropriate adjustments, answers inquiries and updates accounts, as necessary. Performs other related duties as requested.

MINIMUM EDUCATION REQUIRED

• High School or Equivalent (GED)

MINIMUM EXPERIENCE REQUIRED

• Must have at least six (6) months of hospital billing experience.

LICENSES / CERTIFICATIONS REQUIRED

• N/A

KNOWLEDGE, SKILLS & ABILITIES REQUIRED

• Ability to read, write, hear, speak, and comprehend the English language.
• Requires exceptional communication skills and the ability to deal with people in all levels of society in a calm, courteous manner.
• Ability to handle fluctuating daily work assignments based upon changes in patient census volume.
• Business Office experience in a health care environment in Billing, Customer Service, insurance follow-up, or Collections is preferred.
• Knowledge of telephone etiquette, typing, computer, calculator, copy machine, web-based applications, and the use of a fax machine.
• Ability to walk, sit, stand, bend, push, and lift weights of up to 25 pounds for up to 5% of the workday.

PRINCIPLE ACCOUNTABILITIES AND ESSENTIAL DUTIES

• Independently performs all aspects of insurance claims billing, follow-up work, and appeals, including accessing, retrieving, and inputting information throughout the claims processing cycle.
• Understands and applies knowledge of medical billing, terminology, and coding. Reviews account documentation, records, and supporting information to ensure accurate and appropriate billing and claim reimbursement.
• Practices positive communication skills and is able to successfully interact with all patients and staff including the use of proper telephone etiquette.
• Continually demonstrates courteous, cooperative and service-oriented manner following hospital policies.
• Performs clerical functions while maintaining current accounts accurately and timely, utilizing computer, calculator, copier, fax machine, and web-based application knowledge. Owns a complete understanding of the billing software application.
• Effectively keeps current on billing guidelines, memos, correspondences, reports, and work queues.