Career Level (Internal Use Only): PGRN3

Job Purpose:

This Patient Accounts Receivable Representative position is responsible for assisting patients with financial aspects of their hospital service and collecting outstanding balances. The ideal candidates must have 2-3 years healthcare reimbursement experience in a hospital or provider setting.

Essential Duties & Responsibilities:

• Follow up on all claims from billing through final resolution.


• Review and prepare claims for manual and/or electronic billing submission.


• Identify billing errors for correction and resubmit claims to insurance carriers.


• Follow up on payment errors, low reimbursement, denials, etc.


• Review Insurance EOB’s and initiate appeals as necessary.


• Print and mail UB92s or HCFA 1500s as necessary for account resolution.


• Act cooperatively and responsibly with patients, visitors, co-workers, management and clients.


• Maintain a professional attitude.


• Maintain confidentiality at all times.

Minimum Knowledge, Competencies & Qualifications:

• 2 years experience in healthcare customer service or insurance collections field.


• Strong knowledge of computer billing systems.


• Ability to work well individually and in a team environment.


• Able to work in a professional, corporate setting.


• Experience working with customer support/client issue resolution management.


• Proficiency with MS Office


• Excellent oral and written communication skills.