Patient Accounts Specialist

Patient Account Representative

Seeking a skilled Patient Account Representative to manage hospital accounts receivable and optimize reimbursement processes.

Key Responsibilities Include

• Reviewing accounts receivable aging reports and prioritizing collection efforts
• Following up with insurance carriers on outstanding hospital claims
• Performing collections and follow-up for institutional (UB-04) facility claims
• Investigating, correcting, and appealing denied or underpaid claims
• Coordinating with billing and internal teams to resolve claim discrepancies
• Documenting all collection activities accurately in the billing system
• Verifying patient insurance eligibility via payer websites and portals
• Ensuring compliance with HIPAA, organizational policies, and relevant regulations

Qualifications And Skills

• Experience with hospital accounts receivable and healthcare/medical collections
• Familiarity with UB-04 (Institutional/Facility) claims and inpatient/outpatient collections
• Knowledge of hospital billing processes, CPT, ICD, and DRG reimbursement methods
• Understanding of Medicare, Medicaid/Medi-Cal, and commercial insurance guidelines
• Strong communication, negotiation, and analytical skills
• Proficiency in hospital billing systems and Microsoft Office
• High School Diploma or GED required