medical billing representative

Appleton Area Health

<p>I. POSITION</p><p>a. The Patient Account Representative is responsible for managing patient billing accounts and ensuring accurate processing of charges, payments, insurance claims, and account balances. This role acts as a liaison between patients, insurance companies, and healthcare providers to resolve billing issues and ensure timely reimbursement.</p><p>II. QUALIFICATIONS</p><p>a. Education/Training:</p><ul><li>High school diploma or equivalent; supplemented with one year of patient service experience in a health care organization. Medical billing or coding courses are helpful.</li></ul><p>billing experience in a health care organization. Medical billing or medical coding courses helpful.</p><p>b. Skill(s):</p><ul><li>Analytical&mdash;the individual synthesizes complex or diverse information.</li><li>Problem solving&mdash;the individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully</li><li>Oral communication&mdash;the individual speaks clearly and persuasively in positive or negative situations.</li><li>Quality management&mdash;the individual looks for ways to improve and promote quality and demonstrates accuracy and thoroughness.</li><li>Judgment&mdash;the individual displays willingness to make decisions, exhibits sound and accurate judgment and makes timely decisions.</li><li>Planning/organizing&mdash;the individual prioritizes and plans work activities, uses time efficiently and develops realistic action plans.</li><li>Safety and security&mdash;the individual actively promotes and personally observes safety and security procedures and uses equipment and materials properly.</li></ul><p>III. STANDARD REQUIREMENTS</p><p>a. Supports the Mission, Vision and Standards of Behavior at Appleton Area Health</p><p>b. Is knowledgeable of patient rights and ensures an atmosphere which allows for the privacy, dignity, and well-being of all patients in a safe, secure environment.</p><p>c. Supports and cooperates with specific procedures and programs for:</p><ul><li>Safety, including universal precautions and safe work practices, established fire/safety/disaster plans, risk management, and security, report and/or correct unsafe working conditions, equipment repair and maintenance needs.</li><li>Confidentiality of all data, including patient, employee, and operations data.</li><li>Quality assurance and compliance with all regulatory requirements.</li><li>Compliance with current law and policy to provide a work environment free from sexual/ harassment and all illegal and discriminatory behavior.</li></ul><p>d. Supports and participates in common teamwork:</p><ul><li>Cooperates and works together with all co-workers; plan and complete job duties with minimal supervisory direction including appropriate judgment.</li><li>Uses tactful, appropriate communications in sensitive and emotional situations.</li><li>Follows up as appropriate with supervisor, co-workers or patients regarding reported complaints, problems, and concerns.</li><li>Promotes positive public relations with patients, family members and guests.</li><li>Completes requirements for in-service training, acceptable attendance, uniform dress codes including personal hygiene, and other work duties as assigned.</li></ul><p>IV. ESSENTIAL FUNCTIONS</p><p>a. Prepare monthly billings for Care Center, Assisted Living, and Meals on Wheels services.</p><p>b. Meet with residents and family members upon admission to obtain accurate financial information.</p><p>c. Verify patient insurance coverage and eligibility.</p><p>d. Review and manage patient accounts to ensure accurate billing and payment processing.</p><p>e. Process necessary insurance forms in an accurate, timely, and efficient manner.</p><p>f. Investigate and resolve billing discrepancies and claim errors.</p><p>g. Routinely review outstanding accounts by monitoring the accounts receivable aging.</p><p>h. Respond to third party, patient, and all other inquiries in a timely manner.</p><p>i. Prepare and disperse annual rate notices.</p><p>j. All other duties as assigned by supervisor.</p><p>Job Type: Full-time</p><p>Pay: $20.20 - $24.52 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Childcare</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Referral program</li><li>Vision insurance</li></ul><p>Schedule:</p><ul><li>8 hour shift</li><li>Monday to Friday</li></ul><p>Ability to Relocate:</p><ul><li>Appleton, MN 56208: Relocate before starting work (Required)</li></ul><p>Work Location: In person</p>

Patient Accounts Representative - Long Term Care & Community Programs

FMOL Health

<div><p>The Patient Accounts Representative 2 works with patients, co-workers and external agencies to ensure the prompt payment and/or reimbursement of hospital and/or professional charges. The Patient Accounts Representative 2 is responsible for the monitoring of patient accounts which includes, but is not limited to: claim submissions, researching and reviewing back end denials; determining appropriate action for submission of provider claims; outbound and inbound calls from insurance carriers, providers and patients; payment posting; collections; account adjustments and appeals.</p></div>
<br><div><div><ul><li>Customer Service
<div><ul><li>Promptly answers inquiries from patients, co-workers, and employees regarding patient accounts in a kind and courteous manner.
</li></ul><ul><li>Assists in providing quality training and orientation for assigned employees.
</li></ul></div></li></ul><ul><li>Payer Relations
<div><ul><li>Advises patient or guarantor of third party payer benefits and estimated private payer amount and collects partial payments prior to admission in a manner that promotes the provision of high quality health care services by the department.
</li></ul><ul><li>Reviews patient papers and documentation for reported information accuracy, and researches errors on patient accounts, billing and insurance problems, and lost payments in order to ensure accurate record maintenance and prudent departmental operation.
</li></ul><ul><li>Makes written and verbal inquiries to third party payers, reconciles patient accounts, and makes payment arrangements in an effort to ensure that patients are free from financial burden and that patient interests are appropriately represented.
</li></ul><ul><li>Coordinates and originates payroll deduction actions for hospital employees in accordance with established policies and procedures, and oversees collection letter mail-outs for delinquent unpaid patient accounts in a prudent and efficient manner.
</li></ul><ul><li>Sends itemized patient account statements per attorney request or in response to subpoena in a professional and diligent manner.
</li></ul><ul><li>Reviews claims to make sure that payer specific billing requirements are met.
</li></ul><ul><li>Follows up on claims, determines and applies appropriate adjustments.
</li></ul><ul><li>Updates accounts.
</li></ul></div></li></ul><ul><li>Receivables
<div><ul><li>Works with external agencies and companies to provide patients with prompt reimbursement for hospital services. Interprets, explains, and counsels patient and family regarding hospital charges, services, and payment policies in a manner sensitive to the needs and financial situation of the patient.
</li></ul></div></li></ul><ul><li>Quality
<div><ul><li>Maintain a quality accuracy average of 95%
</li></ul><ul><li>Maintain a production set by management for specialty focus.
</li></ul><ul><li>Thoroughly completes assigned tasks with in the requested timeline.
</li></ul></div></li></ul><ul><li>Other Duties As Assigned
<div><ul><li>Performs other duties as assigned or requested.</li></ul></div></li></ul></div></div>
<br><div><ul><li>Must have 2 yrs experience of relevant experience. Bachelor's Degree substitutes 2 yrs exp. Associate's Degree, trade school, or certification substitutes 1 yr exp.
</li><li>Some examples of relevant experience include LPN, RN, Revenue Cycle, Accounting, Bookkeeping, Business, Billing, Coding or call center environments.
</li><li>High School or equivalent
</li><li>Must possess knowledge of ICD-9/10, CPT and HCPCS coding. Must have accurate data entry skills. Must be able to answer multiple phone lines with incoming and outgoing calls. Must understand the explanation of benefits of various managed care companies. Must be able to demonstrate teamwork and willingness to work in cooperation and support of others as well as comply with FMOLHS policies and procedures.</li></ul></div>

Patient Account Representative 2 - Hospital

Blanchard Valley Health System

<div><p><b>PURPOSE OF THIS POSITION</b></p><p>
The PFS Call Center Representative serves as the hospital&rsquo;s primary contact for all patient billing inquiries. Acts as a liaison between Blanchard Valley Health System and patients, providers, and payers for all post-care matters related to account resolution. Provides information regarding hospital billing practices, policies, and patient billing statements. Assists patients in understanding billing statements to ensure swift resolution of outstanding balances. Fulfills the organization&rsquo;s mission of care and service by providing superior customer service to the patient community.</p><p><b>
JOB DUTIES/RESPONSIBILITIES</b></p><ul>
<li>
<b>Duty 1.</b> Responds promptly to patient inquiries regarding hospital billing procedures, policies, and statements. Accepts inbound phone calls from patients, physician offices, insurance carriers, etc. within a specific response-to-call timeframe and with the intent to resolve the caller&rsquo;s concern immediately. Documents all patient accounts activities concisely, including future steps needed for resolution.</li>
<li><b>Duty 2.</b> Follows scripts as provided by the Patient Financial Services/Revenue Cycle Leadership to facilitate consistent and expedient account resolution. While also utilizing multiple resources to resolve patient inquiries while on the phone, preparing/reviewing billing correspondence, or in person.</li>
<li><b>Duty 3.</b> Responsible for insurance verification resulting in accurate billing and patient balances.</li>
<li><b>Duty 4.</b> Negotiates full payment from patients and helps them set up an agreeable payment plan and/or external payment program. Collects patient payments made over the counter, over the phone, and by mail daily; properly records all payment types (e.g., cash, check, debit, credit) and transactions into the computer system.</li>
<li><b>Duty 5.</b> Understands different payer regulations and can communicate effectively with patients regarding their Explanation of Benefits (EOB)</li>
<li><b>Duty 6.</b> Responsible for all cashier functions when needed at the Findlay campus. Including registration, financial counseling, and banking requirements. Providing timely and accurate reporting, patient, and associate satisfaction.</li>
<li><b>Duty 7.</b> Monitors, completes, and maintains appropriate productivity levels of assigned tasks in accordance with team standards.</li>
<li><b>Duty 8.</b> The above duties reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.</li>
<li><b>Duty 9. </b>Remains current on collection laws, Medicare/Medicaid laws, HCAP regulations and guidelines, third party funding requirements, and adheres to all requirements for compliancy.</li>
<li><b>Duty 10.</b> Maintains a thorough understanding and education of federal and state regulations and payer specific policies and requirements to promote compliant credit and collection practices. Adheres to HIPAA related privacy, security and transaction &amp; code set regulations in compliance with the federal guidelines. Accurately documents all account activity. Regularly attends and actively participates in staff meetings, in-service, and continuing education programs as offered. This provides needed educational updates for compliancy and organizational changes in the healthcare industry.</li>
<li><b>Duty 11.</b> Regularly attends and actively participates in staff meetings, training and continuing education that aligns with recognized improvement opportunities, payer policies and procedures and ensures to maintain up to date certifications. This could be remote and/or onsite as necessary, per the BVHS remote policy. Assists in other duties and projects as needed assigned by the supervisor and/or manager.</li>
</ul><p><b>
REQUIRED QUALIFICATIONS</b></p><ul>
<li>
High school graduate or GED equivalent</li>
<li>2-3 years of experience in medical billing and collections, or satisfactory completion of internal billing/self-pay billing assessment.</li>
<li>Certified Patient Financial Services Specialist certificate to be completed within 12 months of hire date.</li>
<li>Knowledge and experience with Microsoft office products and Window PC functionality</li>
<li>Excellent written and verbal communication with positive oriented interpersonal skills.</li>
<li>Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient&rsquo;s status. Must be able to interpret the appropriate information needed to identify each patient&rsquo;s requirements relative to their age-specific needs and to provide the care needed as described in the area&rsquo;s policies and procedures.</li>
</ul><p><b>
PREFERRED QUALIFICATIONS</b></p><ul>
<li>
Health administrative certification/degree or related field, and/or relevant work experience</li>
<li>Previous experience in a call center or &ldquo;dialer&rdquo; environment.</li>
<li>Medical terminology.</li>
<li>ICD 10 and/or CPT coding knowledge.</li>
</ul><p><b>
PHYSICAL DEMANDS</b></p><p>
This position requires a full range of body motion with intermittent bending, squatting, kneeling, and twisting. The associate must be able to sit for three hours, walk for one hour and stand for two hours per day. The associate must be able to lift 20 pounds. The individual must have excellent eye/hand coordination to operate the machines. This position requires corrected vision and hearing in the normal range.</p></div>
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</div><div></div><div><h3 class="jobSectionHeader"><b>Job Snapshot</b></h3>
<div><h4 class="jobSectionHeader"><b>Employee Type</b></h4>
Full-Time
</div><div><h4 class="jobSectionHeader"><b>Street Address</b></h4>
1100 East Main Cross Street
</div><div><h4 class="jobSectionHeader"><b>Location Map</b></h4>
</div><div><h4 class="jobSectionHeader"><b>Date Posted</b></h4>
03/12/2026
</div><div><h4 class="jobSectionHeader"><b>Job ID</b></h4>
19742
</div><div><h4 class="jobSectionHeader"><b>Shift</b></h4>
1st/Variable</div></div></div>

PFS Call Center Representative - 40 hrs/wk, 1st shift

University of Texas Medical Branch

<div><p><b>EDUCATION &amp; EXPERIENCE:</b></p><p><b>
Minimum Qualifications:</b></p><ul><li>
Two years of financial experience or one year of patient accounts experience.
</li></ul><p><b>JOB SUMMARY:</b></p><p>
The Patient Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital claims. Identifies billing issues affecting hospital and/or physicians claims/accounts and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues affecting these claims. Takes necessary actions to ensure timely and appropriate reimbursement and account resolution.
</p><p><b>ESSENTIAL JOB FUNCTIONS:</b></p><ul><li>
Demonstrates a level of competence and understanding of all state and federal laws, rules, and regulations regarding payer billing guidelines</li><li>
Demonstrates a basic understanding of CPT, ICD-9, HCPCS, modifier coding as well as POS requirements</li><li>
Billing payers and/or clients for hospital and/or Professional Patient Accounts</li><li>
Resolves Payer rejections from billing system daily to bill submit hospital and/or physicians claims</li><li>
Performs online corrections to edited claims according to procedures</li><li>
Performs detailed follow-up activities on assigned accounts according to procedures</li><li>
Responds to daily correspondence according to procedures</li><li>
Identifies denials and underpayments for appeal</li><li>
Reviews, researches, and processes denied claims</li><li>
Appeal claims as appropriate according to policies and procedures</li><li>
Updates account information and documents as appropriate within Epic Resolute</li><li>
Processes account adjustments according to policies/procedures</li><li>
Issues payer and/or patient refunds according to policies/procedures</li><li>
Validates accuracy of payments and/or adjustments on accounts</li><li>
Resolves outstanding accounts at required accuracy and productivity requirements</li><li>
Maintains comprehensive knowledge of the work unit assigned</li><li>
Assists in the development of department policies and procedures</li><li>
Adheres to established policies and procedures</li><li>
Adheres to internal controls and reporting structure</li><li>
Maintains open and professional communication with customers, colleagues, and vendors</li><li>
Performs well in a team environment</li></ul><p><b>
Marginal or Periodic Functions:</b></p><ul><li>
Successfully completes competency-based training and testing</li><li>
Prioritizes and completes all work in an accurate, effective, and efficient manner</li><li>
Participates in team meetings/activities and supports the philosophy and goals of the team and department</li><li>
Assists in the training and mentoring of new employees</li><li>
Reads all announcements and relevant communications relating to job duties</li><li>
Performs related duties as required.</li></ul><p><b>
WORKING ENVIRONMENT/EQUIPMENT:</b></p><ul><li>
Standard hospital, clinical, laboratory and/or office environments.</li><li>
Standard office equipment.</li></ul><p><b>
SALARY RANGE:</b></p><p>
Actual salary commensurate with experience.</p><p><b>
WORK SCHEDULE:</b></p><p>
On-site, Monday through Friday, 8 AM - 5 PM.</p><p></p><p><b><br>
Equal Employment Opportunity</b></p><p>
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.</p></div>

Patient Account Specialist - Revenue Cycle HB Billing & Denials

Associated Clinic of Psychology

<div><div><b>Billing Representative</b><br>
<b>Company: </b>Associated Clinic of Psychology (ACP)<br>
<b>Location:</b> ACP Corporate Office - St. Louis Park, MN</div>
<div><b>Employment Type:</b> Full-Time<br>
<b>Hiring Bonus Available</b>
<div></div><div><b>Join a Mission-Driven Healthcare Team</b><br>
Are you an experienced medical billing professional with a passion for accuracy and<br>
customer service? The Associated Clinic of Psychology (ACP) is hiring a Billing<br>
Representative to join our Business Office team in St. Louis Park, MN. For over 45 years, ACP<br>
has been a trusted leader in behavioral health services throughout Minnesota and Western<br>
Wisconsin.</div>
<div><br>
<b>Why Work at ACP?</b><br>
You&rsquo;ll play a vital role in supporting our mission to provide accessible mental health care by<br>
managing critical billing and insurance tasks. In return, you&rsquo;ll enjoy a collaborative, respectful<br>
workplace that prioritizes professional development and values diversity.</div>
<div></div><div><b>Key Responsibilities:</b></div>
<ul><li>Post remittance advice from insurance companies</li>
<li>Manage insurance claim denials and rejections with timely follow-up</li>
<li>Perform insurance verifications across all ACP divisions</li>
<li>Generate and distribute monthly client statements</li>
<li>Communicate insurance benefits and billing information to clients</li>
<li>Assist with various administrative tasks to support business office operations</li>
</ul>
<div></div><div><b>Required Qualifications:</b></div>
<ul><li>High School Diploma or equivalent</li>
<li>At least 3 years of experience in medical billing, insurance verification, or</li>
<li>healthcare revenue cycle management</li>
<li>At least 3 years of experience with posting lengthy remittances and managing denial</li>
<li>queues.</li>
<li>Basic knowledge of medical terminology and insurance claim procedures</li>
<li>Proficient with data entry, billing systems, and ability to learn new software</li>
<li>Excellent communication, organizational, and problem-solving skills</li>
<li>Ability to multitask in a fast-paced environment</li>
<li>Reliable transportation</li>
</ul><div><b>Preferred Qualifications:</b></div>
<ul><li>Familiarity with behavioral or mental health billing</li>
<li>Experience working with EHR systems</li>
</ul>
<div></div><div><b>What We Offer:</b></div>
<ul><li>Health, dental, and vision insurance (Medica, Delta Dental, EyeMed)</li>
<li>Short- and long-term disability &amp; life insurance (Mutual of Omaha)</li>
<li>No-cost virtual and in-home healthcare through Nice Healthcare</li>
<li>Generous PTO and paid holidays</li>
<li>401(k) with employer contributions</li>
<li>Employee Assistance Program</li>
<li>Fitness facility discounts</li>
<li>Supportive, inclusive work culture that encourages growth</li>
</ul>
<div><br>
<b>Diversity, Equity &amp; Inclusion</b><br>
ACP is an Equal Opportunity Employer (AA/EOE). We actively welcome and encourage<br>
individuals from all backgrounds, including BIPOC, LGBTQ+, veterans, and persons with<br>
disabilities, to apply.</div>
<div><br>
<b>About ACP</b><br>
Founded in 1980, the Associated Clinic of Psychology is a leading provider of behavioral<br>
health and mental health services. We are committed to delivering the right care, at the<br>
right place, at the right time&mdash;to everyone who needs it.<br>
Apply today to be a part of a growing healthcare team making a difference in our<br>
communities. Your experience, reliability, and compassion could be exactly what we need!</div>
</div><div><b>Starting Pay:</b> $20 - $23 hourly. Actual compensation may vary as determined by education, experience, and skillset.</div>
<div>ADM123</div></div>

Billing Representative

Trinity Health

<b>Employment Type:</b><br>
Full time
<br><br>
<b>Shift:</b><br>
Day Shift
<br><br>
<b>Description:</b><br>
**copy req of 00496524, that has a filled position**Billing Representative
<br><br>
Great opportunity for a medical billing professional who wants to work in an organization that focuses on treating the whole person, physically, emotionally and spiritually.
<br><br>
Be Remarkable!
<br><br>
<b>Highlights:</b><br>
<ul>
<li>We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.</li>
<li>Mercy Health Physician Partners, our multi-specialty physician network, employs more than 500 physicians and advanced practice professionals in Grand Rapids, Muskegon, Holland and the Lakeshore.</li>
<li>Day Shift M-F no weekends, paid holidays.</li>
<li>Competitive benefit packages</li>
</ul>
•
<br><br>
<b>Position Summary:</b><br>
The Billing Representative is involved in the billing of private insurance companies, Medicare and Medicaid.
<br><br>
<b>What you will do:</b><br>
<ul>
<li>Answers incoming calls from Referrals and customers placing orders</li>
<li>RequestPrescriptions for customers as needed</li>
<li>Obtains insurance authorization and recertification as needed</li>
<li>Maintains accurate and complete records concerning billing activity and inventory tracking.</li>
<li>Examines insurance explanation of benefits to assure responsibility and identify rejected insurance billings. Rework and rebill rejected accounts in a timely manner.</li>
<li>Supplies supervisor with current account status for collection evaluation</li>
</ul>
<b>What you will need:</b><br>
<ul>
<li>High School diploma or equivalent.</li>
<li>Minimum of one (1) year of data entry experience required.</li>
</ul>
Our Commitment
<br><br>
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Billing Representative - Onsite in Grand Rapids

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Patient Accounts Representative - Long Term Care & Community Programs

Patient Account Representative 2 - Hospital

PFS Call Center Representative - 40 hrs/wk, 1st shift

Patient Account Representative 2 - Hospital

Patient Account Specialist - Revenue Cycle HB Billing & Denials

Billing Representative

Billing Representative - Onsite in Grand Rapids