Resident Patient Account RepresentativeResident Patient Account Representative

City of Lincoln; Hot Springs (SD); On-site; USD 39,000 - 52,000; Full time

Job summary

Fall River Health Services (FRHS) in Hot Springs, SD is seeking a Resident Patient Accounts Representative to manage resident financial accounts, billing, collections, and trust accounts. The role focuses on Medicare/Medicaid billing, insurance processes, and accurate revenue capture in a rural healthcare setting.

The ideal candidate will handle sensitive financial information, work independently, and collaborate with clinical and administrative teams while ensuring compliance and high-quality

Qualifications

• Experience in medical billing and accounts receivable within healthcare.
• Knowledge of Medicare/Medicaid and insurance processes.
• Familiarity with long-term care billing and resident trust accounts.
• Excellent attention to detail and confidentiality (HIPAA).
• Proficiency with Excel and healthcare software.

Responsibilities

• Process Medicare, Medicaid, private-pay billing and other insurance billing.
• Prepare and process monthly resident billing statements.
• Enter monthly resident charges and services for accurate revenue capture.
• Monitor accounts receivable and follow up on delinquent balances.
• Communicate with residents/families about outstanding balances and payment plans.
• Assist with month-end close and reconciliations.
• Maintain resident trust accounts and process deposits/disbursements.
• Support audits and surveys with accurate documentation.

Skills

Medical billing

Accounts receivable

HIPAA compliance

Excel

PointClickCare

Education

High School Diploma

Associate degree preferred

Tools

EPIC

Meditech

PointClickCare

Job description

• Location 1201 HWY 71 SOUTH,HOT SPRINGS, SD, 57747-8800,United States
• Employee Type Full-Time Non-Exempt

Description

Resident Patient Accounts Representative

Fall River Health Services (FRHS) is seeking a detail-oriented and organized Resident Patient Accounts Representative to join our team. This position plays an important role in managing resident financial accounts, billing, collections, resident trust accounts, and accounts receivable while ensuring accuracy, compliance, and excellent customer service.

The ideal candidate is comfortable working with financial information, insurance billing, government payers, and residents and families regarding sensitive financial matters. This position requires strong attention to detail, excellent organizational skills, confidentiality, and the ability to work independently in a fast-paced healthcare environment.

What You’ll Do

Revenue Cycle & Accounts Receivable

• Process and manage Medicare, Medicaid, private-pay, Long-Term Care Insurance, and other insurance billing.
• Prepare and process accurate and timely monthly billing statements.
• Enter monthly resident charges and ancillary services to ensure accurate billing and revenue capture.
• Enter Medicare Part A pharmacy, ancillary, and supply charges.
• Process monthly no-pay Medicare claims as required.
• Monitor accounts receivable and follow up on delinquent accounts.
• Communicate with residents, families, and responsible parties regarding outstanding balances, payment arrangements, and account questions.
• Prepare notices and collection letters as needed.
• Coordinate collection efforts and refer accounts for collection services when appropriate.
• Conduct financial screenings for prospective residents prior to admission.
• Collect and review financial information to determine available resources and appropriate payment arrangements.
• Maintain accurate resident census information manually and within PointClickCare.
• Review resident accounts and census information for accuracy and resolve discrepancies.

Resident Trust Accounts

• Maintain resident trust accounts in accordance with applicable regulations and facility policies.
• Process resident trust deposits and disbursements accurately and timely.
• Process monthly rent and other approved resident payments using resident trust funds.
• Ensure resident trust accounts are accurately balanced and reconciled.
• Process resident refunds and maintain and reconcile donation funds.
• Prepare and provide Administration with a monthly accounts receivable aging report, including appropriate billing and collection notes.
• Process deposits, disbursements, and monthly financial reconciliations.
• Complete month-end close worksheets and related financial activities.
• Assist with financial audits and regulatory reviews.
• Maintain accurate documentation for surveys, audits, and financial reviews.
• Ensure compliance with applicable federal and state regulations, payer requirements, and facility policies.

Additional Responsibilities

• May assist with patient account functions for the Fall River Rural Health Clinic and Hospital.
• Collaborate with Administration and other departments to resolve account and billing issues.
• Perform other duties as assigned.

What We’re Looking For

Required Skills & Qualifications

• Previous experience in medical billing, accounts receivable, healthcare finance, long-term care billing, or a related field preferred.
• Working knowledge of Medicare, Medicaid, private-pay billing, and insurance processes.
• Understanding of long-term care reimbursement and Medicare Part A billing preferred.
• Experience with resident trust accounts or similar financial account management is preferred.
• Strong attention to detail and accuracy.
• Excellent organizational and time-management skills.
• Ability to manage multiple priorities and meet deadlines.
• Strong mathematical and reconciliation skills.
• Ability to analyze financial information, identify discrepancies, and resolve problems.
• Strong written and verbal communication skills.
• Ability to communicate professionally and compassionately with residents, families, responsible parties, insurance companies, government agencies, collection agencies, auditors, and coworkers.
• Ability to maintain confidentiality of resident financial, medical, and personal information in accordance with HIPAA and applicable privacy requirements.
• Proficiency with computers, Microsoft Office, electronic billing systems, and healthcare software.
• Experience with PointClickCare or similar healthcare information systems is preferred.
• Ability to work independently while also functioning effectively as part of a team.
• Ability to work effectively in a rural healthcare environment.

Why Join Fall River Health Services?

At FRHS, you will be part of a team dedicated to providing quality healthcare and compassionate service to the communities we serve. This is an opportunity to make a meaningful contribution behind the scenes by helping ensure our residents receive the support and services they need while maintaining accurate and responsible financial operations.

If you are organized, dependable, detail-oriented, and enjoy helping people, we would love to hear from you!

Requirements

Education: High School Diploma or equivalent required. Associate degree in Accounting, Finance, or Business Administration preferred.

Experience: Verified experience in medical billing to include Medicare/Medica id , accounts receivable, financial services, or insurance billing required . Experience in a skilled nursing or long-term care (LTC) environment preferred.

Technical Skills: Prior operational experience with EPIC, Meditech, PointClickCare , or advanced hospital split-billing and CDM accounting systems. Strong mastery of Microsoft Excel.

Attention to Detail: Exceptional analytical mindset with an ability to spot matching discrepancies between medical charts and purchase ledgers. Demonstrated ability to perform precise numerical audits and handle confidential compliance documentation without error.

Summary

Fall River Health Services (FRHS) is a comprehensive, non-profit healthcare system dedicated to delivering patient-focused care to Hot Springs, South Dakota, and the surrounding areas. As one of the largest employers in Fall River County, our independent network includes a 25-bed Critical Access Hospital, a 24-hour emergency room, the Seven Sisters Living Center nursing home, and the Fall River Rural Health Clinic. Our team of professional caregivers is deeply committed to supporting the physical, emotional, and spiritual needs of our patients and families while keeping "Our Community at Heart".

The average compensation for this position is $18.77-$25.17 depending on your qualifications and experience.

We offer a comprehensive benefits package to all full-time employees. Compensation is based upon your experience and qualifications. Full-time employees are eligible for our comprehensive benefit package including medical vision, dental, and much more!

Fall River Health Services (FRHS) is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability status, genetic information, protected veteran status, or any other characteristic protected by law. FRHS is committed to the full inclusion of all qualified individuals. As part of this commitment, FRHS will ensure that persons with disabilities are provided with reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. If you need reasonable accommodation, please contact our Human Resources Department at 605.745.8910.