Patient Account Representative

Job Summary and Responsibilities

As a Patient Account Representative, you will be responsible for preparing and processing superbill charges and payments, ensuring accurate financial record-keeping.Every day you will meticulously post these charges and payments to patient accounts and efficiently schedule daily appointments, contributing to the smooth operation of patient billing and scheduling.To be successful in this role, you will demonstrate meticulous attention to detail in financial transactions, strong organizational skills for scheduling, and a commitment to accuracy and efficiency in patient account management.

• Reviews and posts payments and write-off/adjustments from insurance and patients.
• Reviews Explanation of Benefits (EOBs)/ Electronic Remittance Advice (ERAs), payments, adjustments, insurance contracts and contracting system, insurance benefits, and all account comments; applies knowledge of payer contracts and experience with insurance reviews to gather additional information as necessary.
• Posts and tracks electronic funds transfer (EFT) information and validates EFTs for accuracy.
• Follows write-off approval protocols for non-routine adjustments.
• Manually posts non-electronic activities to include: payments, adjustments, and zero payment denials.
• Completes daily posting log and quarterly cash handling audits and reports findings to Supervisor/Manager.

Job Requirements

• Knowledge of debits and credits, electronic remittance advices, medical insurance, payer contracts, CPT codes, and ICD codes.

• Ability to understand and apply government and commercial insurance reimbursement terms, contractual adjustments, and remittance advice details.

• Strong data entry skills with a commitment to accuracy, productivity, timeliness, and attention to detail.

• Strong critical thinking, problem-solving, and troubleshooting skills, with the ability to interpret and apply complex written and verbal instructions.

• Ability to prioritize tasks, work effectively under pressure, maintain confidentiality, and handle sensitive information appropriately.

• Strong communication, customer service, and interpersonal skills, including proficiency with office equipment, computer systems, and software applications.

Where You’ll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.