Patient Accounts Representative organizes inpatient and outpatient claims for electronic or hard copy mail and forwards to appropriate third party payers. Reviews claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and applies appropriate adjustments, answers inquiries, and updates accounts as necessary. Being a Patient Accounts Representative requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Patient Accounts Representative works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Patient Accounts Representative typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
St. Joseph’s Healthcare System is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.
Job Overview
Responsible for processing all billing for third party payers ensuring that all information is accurate and current allowing all claims to be entered and processed without error for clean claims to be released. Works all hold buckets, analyzing accounts and reentering based on new information according to billing office agreements.
Work requires a High School diploma or equivalent and at least one year of previous work related experience, bilingual preferred. Knowledge of medical terminology is considered an asset. Proficient knowledge of Microsoft Office preferred. Work requires communication skills needed to frequently answer telephone calls and work with multiple interruptions and still sustain positive communication.
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