Patient Account Representative II

 Posted a day ago
     
 $18.42 - $31.25 per hour
  
2-5 years experience
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AI Summary

The Patient Account Representative II resolves complex regulatory and commercial accounts by analyzing Explanation of Benefits (EOBs) and identifying root causes for outstanding balances. They also manage credit balances, process refunds, and coordinate with the revenue management team to ensure accurate account resolution.

Where You’ll Work

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Job Summary and Responsibilities

As our Patient Account Representative II, you will resolve complex regulatory and commercial accounts, meticulously analyze EOBs to problem-solve outstanding accounts, and manage credit balances and necessary refunds. Every day you will facilitate in-depth analysis and research of Explanation of Benefits (EOBs), identify root causes for outstanding balances, and ensure accurate and compliant resolution of patient accounts, contributing to the financial health of the organization. To be successful in this role, you will possess strong analytical and problem-solving skills, meticulous attention to detail in financial reconciliation, a deep understanding of regulatory and commercial billing, and the ability to effectively resolve complex patient account issues.

 

  • Performs account review to resolve regulatory and commercial accounts.
  • Researches outstanding accounts by partnering with peers, vendors, and patients.
  • Partners with facility peers to resolve any edits or communicate any additional information needed to collect outstanding accounts.
  • Researches outstanding issues to assist in the facilitation of timely account resolution.
  • Utilizes problemsolving skills to coordinate with the revenue management team on issues that may arise as it pertains to billing.
  • Generates letters to patients for COBs or to obtain additional account information.

This position has the ability to work remote 100%; however will have to go on-site (Mineral campus in Centennial Co.) for in person meetings and or if experiencing Internet or computer issues. 

Job Requirements

Required

  • High School Diploma/G.E.D.
  • Two (2) years computer experience, strong customer service skills

Preferred

  • Prior office experience in a healthcare environment, medical terminology, and the ability to multitask and prioritize

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