Patient Accounts Representative II

CommonSpirit Health

Stockton (CA)

On-site

USD 46,000 - 53,000

Full time

6 days ago
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Job summary

CommonSpirit Health is seeking a Patient Account Representative to manage billing and collections for hospital and clinic facilities. You will contact insurance carriers, review claims for accuracy, and respond to patient or insurer correspondence to ensure timely resolution of balances.

Ideal candidates will have knowledge of regulatory requirements, strong computer and typing skills, and the ability to troubleshoot payer issues within a team setting.

Qualifications

  • High School Diploma or GED required.
  • 1+ years billing, collections, or Revenue Cycle experience in an acute care or ambulatory setting.
  • Typing speed of 40 WPM and Ten Key – 8,000 keystrokes per hour.
  • Knowledge of Government and/or Non-Government billing and collections regulations.
  • Knowledge of claim submission, claims follow-up, appeals process, and medical and billing terminology.

Responsibilities

  • Perform necessary billing and follow-up functions as directed by department leadership.
  • Demonstrate understanding of relevant terminology required for claim processing.
  • Demonstrate and maintain understanding of state, federal and third-party regulatory requirements as they apply to revenue cycle operations (e.g., health-care reform, state surcharges, CMS).
  • Must have proficient knowledge and the ability to accurately utilize all reimbursement tools including payer contracts, claims workflow systems, and expected reimbursement software.
  • Demonstrate, maintain understanding of, and comply with hospital/clinic billing policies and procedures.
  • Responsible for collecting accurate information and verifying all documentation necessary for timely billing and resolution of patient accounts.

Skills

Typing 40 WPM
Ten Key 8000 keystrokes/hour
Regulatory knowledge
Billing terminology

Education

High School Diploma or GED

Tools

Revenue cycle software
Claims workflow systems
Payer contracts

Job description

Job Summary and Responsibilities

As our Patient Account Representative, you will help manage the billing and collections processes for hospital and clinic facilities so they can achieve accurate account processing and timely resolution of outstanding balances.

Every day you will perform billing and follow-up functions, including contacting insurance carriers, reviewing claims for accuracy, and responding to patient or insurance correspondence. You will be expected to utilize your knowledge of regulatory requirements and reimbursement software to ensure all accounts are processed and paid correctly, while maintaining strict patient confidentiality and professional standards.

To be successful in this role, you will possess a strong understanding of medical terminology and billing regulations, demonstrate proficient computer and typing skills, and utilize your analytical abilities to troubleshoot and resolve complex payer issues within a team environment.

  • Perform necessary billing and follow-up functions as directed by department leadership.
  • Demonstrate understanding of relevant terminology (e.g., financial and/or medical) required for claim processing.
  • Demonstrate and maintain understanding of state, federal and third-party regulatory requirements as they apply to revenue cycle operations (e.g., o Health-care reform, state surcharges, CMS)
  • Must have proficient knowledge and the ability to accurately utilize all reimbursement tools including payer contracts, claims workflow systems, and expected reimbursement software.
  • Demonstrate, maintain understanding of, and comply with hospital/clinic billing policies and procedures.
  • Responsible for collecting accurate information and verifying all documentation necessary for timely billing and resolution of patient accounts.
Job Requirements

Required

  • High School Graduate or GED
  • 1+ years experience with billing, collections, and/or Revenue Cycle operations in an acute care or ambulatory setting.
  • Typing Speed 40 WPM required and Ten Key – 8,000 keystrokes per hour.
  • Knowledge of Government and/or Non-Government billing and collections regulations.
  • Knowledge of claim submission, claims follow-up, appeals process, and medical and billing terminology.
Where You'll Work

Founded in 1899, Dignity Health - St. Joseph’s Medical Center is a 355-bed, acute care, nonprofit hospital located in Stockton, California. Serving over 125,000 patients annually, the hospital offers a full complement of services including a Level III NICU, cancer care, heart care, and a family birth center. Additionally, St. Joseph’s Medical Center has been recognized as an LGBTQ+ Healthcare Equality High Performer by the Human Rights Campaign Foundation. It is a Joint Commission-certified Primary Stroke Center and was named one of America’s 250 Best Hospitals by Healthgrades in 2026.

One Community. One Mission. One California

Pay Range

$33.51 - $38.31 /hour

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