The Patient Accounts Representative manages account inquiries, processes payments, and verifies insurance coverage to ensure accurate billing. They also collaborate with internal departments to resolve financial concerns and maintain documentation in the ticketing system.
Requirements overview
Candidates must have a high school diploma or GED and 1-2 years of experience in medical billing, insurance verification, or healthcare customer service. Proficiency in electronic health records and strong communication skills are essential for this role.
Key skills
Medical billingInsurance verificationPayment processingAccount reconciliationCustomer serviceAthena softwareElectronic health recordsHIPAA complianceData entryProblem-solvingCommunication skillsMicrosoft Office SuiteAttention to detailFinancial controlsClaim rebilling
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About Community Health Systems Professional Services Corporation
Industry
Hospitals and Health Care
Employees
25,336
Type
Public Company
Size
10,001+ employees
Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 32 distinct markets across 12 states, CHS operates 59 affiliated hospitals with more than 8,000 beds and more than 800 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers.
HealthcareFinance & AccountingCustomer Service & SupportAdministrative
Description
Our Benefits
* Comprehensive Health Coverage: Medical, dental, and vision plans to keep you
and your family healthy.
* Competitive Pay & Full Benefits: A salary and package designed to reward your
expertise and dedication.
* Paid time off
* Future Security: 401(k) with matching.
Job Summary
The Patient Accounts Representative is responsible for assisting patients,
clinics, and internal stakeholders with account inquiries, payment processing,
and insurance verification. This role ensures accurate and timely resolution of
patient financial concerns, including billing questions, payment posting, and
claim rebilling, while maintaining compliance with corporate policies and
regulatory standards.
Essential Functions
* Responds to patient inquiries regarding account balances, billing statements,
and insurance claims, ensuring timely resolution within two business days.
* Processes and posts credit card payments daily, ensuring compliance with
company policies and financial controls.
* Verifies and updates insurance coverage, confirming patient-provided
information before adding coverage in the Athena software and setting claims
for rebilling.
* Establishes patient payment arrangements in accordance with organizational
policies and guidelines.
* Processes received mail and correspondence, ensuring account-related
documents are handled within two business days.
* Closes daily and monthly payment/deposit batches, ensuring reconciliation
accuracy and compliance with accounting policies.
* Logs inbound and outbound calls in the ticketing system, maintaining accurate
documentation of patient interactions.
* Collaborates with internal departments, including billing, revenue cycle, and
insurance verification teams, to resolve patient account concerns
efficiently.
* Assists with financial assistance applications and payment plan inquiries,
providing guidance to patients based on eligibility criteria.
* Performs other duties as assigned.
* Maintains regular and reliable attendance.
* Complies with all policies and standards.
Qualifications
* H.S. Diploma or GED required
* Associate Degree in Business, Healthcare Administration, Medical Billing, or
a related field preferred
* 1-2 years of experience in patient accounts, medical billing, insurance
verification, or customer service in a healthcare setting required
* 1-3 years of experience in a call center work environment preferred
* Experience with Athena software, electronic health records (EHR), and
insurance billing systems preferred
Knowledge, Skills and Abilities
* Basic knowledge of medical billing, insurance claims, and patient financial
services.
* Proficiency in payment processing, account reconciliation, and financial
transactions.
* Strong attention to detail and ability to review patient accounts for
accuracy and compliance.
* Excellent verbal and written communication skills, with the ability to
explain billing statements and payment options to patients.
* Proficiency in Microsoft Office Suite (Excel, Outlook, Word) and healthcare
billing software.
* Strong problem-solving and organizational skills, with the ability to
prioritize tasks and meet deadlines.
* Knowledge of HIPAA regulations and ability to maintain patient
confidentiality.
We know it’s not just about finding a job. It’s about finding a place where you
are respected, valued and where your work is purposeful and fulfilling. A place
where your talent is recognized, professional development is encouraged and
career advancement is possible.
The PPSI Team and Athena work alongside the Clinic Leaders and staff with the
common goal of creating a clean and efficient revenue cycle.
Community Health Systems is one of the nation's leading healthcare providers.
With healthcare delivery systems in 36 distinct markets across 14 states, CHS
operates 69 affiliated hospitals with more than 10,000 beds and approximately
1,000 other sites of care, including physician practices, urgent care centers,
freestanding emergency departments, imaging centers, cancer centers, and
ambulatory surgery centers.