Job Description​

Patient Account Representative is responsible for reviewing, billing, collection, and accounts receivable activities for the hospital billing departments within Saint Luke's Health System. 
Activities include, but are not limited to, entering demographics, troubleshooting issues, responding to inbound and outbound billing calls from patients, payment posting, resolving credits, identifying, and correcting medical claim errors that may prevent payment and identifying, correcting, and resubmitting medical claims denied by insurance companies.  Resolving claim edits, working denials and appeals. 
Patient Account Representative may be responsible for any or all the following duties, including duties not otherwise assigned: 

• Making outbound collection calls to patients to obtain information needed to collect payment 
• Process credit card payments 
• Establish payment plans with patients and complete referral to extended payment plan when applicable
• Identify patients needing financial assistance, explain financial assistance process and additional documents needed
• Research and troubleshoot issues related to patient balances
• Serve as liaison between patient and other departments as needed
• Process accounts within a work queue in the Electronic Medical Record system and take action as appropriate
•    Meet department productivity and quality metric.
•    This position is responsible for identifying opportunities and reporting trends to improve patient satisfaction and workflow efficiencies by identifying reasons for patient calls that could have been prevented by education up stream in the process or practice management programming solutions.  Examples of this would be educating patients on financial policies, financial expectations of services rendered, correct coding, explanation of coverage, collecting payments when scheduling, system enhancements to identify the correct insurance at registration, correct payment posting, medical necessity warnings.
 

Job Requirements

Applicable Experience:

Job Details