Patient Accounts Specialist II: Billing & Payor Appeals

BJC HealthCare; Belleville (IL); On-site; USD 42,000 - 48,000; Full time

Benefits offered by this job

Medical benefits

Disability insurance

Retirement plan

Tuition assistance

Learning and development

Flexible spending accounts

Paid time off

Adoption assistance

Job summary

BJC HealthCare is seeking a Patient Accounts Representative II to support physician billing follow up and ensure timely payment on claims in a large nonprofit health system. Duties include working claims, contacting payors, and filing appeals to maximize collections.

The role emphasizes expertise in insurance verification, account submissions, and coordinating with physicians, hospital staff and insurers to resolve complex debit and credit items.

Qualifications

• Requires high school diploma or GED.
• Experience: less than 2 years; preferred 2–5 years in related roles.

Responsibilities

• Serves as the subject matter expert in insurance collection activities and billing resolution; resolves complex accounts and ensures full resolution.
• Contacts insurance companies regarding complex claims, updates account information, and completes advanced administrative tasks on accounts.
• Completes necessary follow-up tasks in a timely manner while maintaining departmental quality and productivity standards.
• Confirms patient benefits with insurance carrier and re-files insurance claims as necessary to ensure timely and accurate payment.
• Works with assigned payors and assists in communicating identified payor issues for remediation efforts.

Education

High School Diploma or GED

Job description

BJC HealthCare is seeking a Patient Accounts Representative II to support physician billing follow up and ensure timely payment on claims in a large nonprofit health system. Duties include working claims, contacting payors, and filing appeals to maximize collections.

The role emphasizes expertise in insurance verification, account submissions, and coordinating with physicians, hospital staff and insurers to resolve complex debit and credit items.