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Patient Account Representative, Level 3 – Hospital
Franciscan Missionaries of Our Lady Health System. Act as a liaison to review and resolve complex Patient Accounts issues.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Patient Accounts management, including billing, collections, and compliance with insurance reimbursement procedures. Proficient in training and leading teams while effectively resolving complex account issues.
Highest-signal resume keywords
Patient Accounts ManagementICD-10, CPT, HCPCS CodingBilling and Collection ProceduresTeam LeadershipCustomer Service
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
BillingCollectionsAccounts Receivable ManagementRevenue Cycle ManagementFinancial Reporting
Soft Skills
CommunicationProblem-SolvingTeam CollaborationTraining and Mentoring
Certifications & Qualifications
LPNRN
Industry Keywords
Patient AccountsInsurance PayerThird-Party ApprovalsPayment CyclesExplanation of Benefits
About the role
Key responsibilities & impact- Act as a liaison to review and resolve complex Patient Accounts issues.
- Perform customer service, posting, billing and/or collection processes for Patient Accounts.
- Provide support and act as a team lead over patient charge posting, billing, and collection operations.
- Assist with work-related problems and patient account inquiries.
- Provide training and orientation for assigned employees.
- Communicate departmental policies and procedures.
- Allocate tasks and monitor departmental work schedules and duty assignments.
- Monitor controls for submission, billing, payment cycles, third-party approvals, billing, and collection of overdue accounts.
- Answer patient, co-worker, and employee inquiries regarding patient accounts.
- Follow up on unpaid claims with intermediaries or insurance carriers.
- Prepare lists of past-due accounts for collection.
- Work with insurance companies on provider contract agreements and patient-account adjustments.
- Ensure billing and collection procedures and accounts-receivable records comply with established policies.
- Monitor accounts receivable and cash receipt functions.
- Keep current on governmental third-party and private insurance payer reimbursement billing procedures.
- Perform other duties as assigned or requested.
Requirements
What you’ll need- Must have 3 yrs experience of relevant experience; Bachelor's Degree substitutes 2 yrs exp.
- Associate's Degree, trade school, or certification substitutes 1 yr exp.
- Relevant experience may include LPN, RN, Revenue Cycle, Accounting, Bookkeeping, Business, Billing, Coding or call center environments.
- High School or equivalent
- Knowledge of ICD-10, CPT and HCPCS coding
- Ability to read and understand third party payer explanation of benefits
Benefits
Comp & perks- Participation in staff educational programs
- Approved continuing education courses
- Specialized skill training programs