About the role

  • Executes Business Office Operations and Functions including billing, collections, payment processing, and customer service tasks.
  • Updates accounts with ownership and accountability.
  • Leverages contract knowledge and expertise to drive revenue.
  • Evaluates root cause and resolves account issues timely.
  • Completes transactional updates independently and collaborates with departments as needed.
  • Identifies patterns and trends in account issues; escalates appropriately.
  • Maintains subject matter expertise on regulations and processes.
  • Consistently meets production and quality requirements.

Requirements

  • 8 years experience in Revenue Cycle / Hospital Business Office programs (Customer Service, Billing, Follow-up) or equivalent industry experience.
  • Related certification program in areas such as billing, medical office, coding and accounting can be substituted for 1 year of experience.
  • Bachelor's Degree can substitute for 4 years of experience; Associate's Degree can substitute for 2 years of experience.
  • High School diploma or equivalent
  • Must possess knowledge of ICD-9/10, CPT and HCPCS coding.
  • Apply critical thinking and problem solving skills as it relates to resolving accounts.
  • Must understand the explanation of benefits of various managed care companies and regulations.
  • Must be able to demonstrate teamwork and willingness to work in cooperation and support of others as well as comply with FMOLHS policies, procedures and core values.
  • Communication, interpersonal and collaboration skills.

Job title

Patient Account Representative – Level 4

Job type

Experience level

SeniorLead

Salary

Not specified

Degree requirement

High School Diploma

Location requirements

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