Patient Billing & Claims Specialist

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

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.