Patient Account Representative 4 – Hospital

This is a fully remote position, open to applicants in Louisiana.

📋 Description

• Execute billing, collections, payment processing, and customer service duties in the Business Office.

• Review and update patient accounts within the EPIC system.

• Collaborate with patients, colleagues, external agencies, managed care organizations, Payor Relations, and vendors.

• Address issues related to accounts, payments, reimbursements, contracts, and credit balances.

• Analyze root causes, identify patterns, and escalate issues to drive process enhancements.

• Maintain up-to-date knowledge of regulations, processes, and policies through ongoing training and daily application.

• Achieve production and quality standards for accounts receivable, claim counts, and overdue accounts.

• Address requests from customers, colleagues, and management in a timely and professional manner.

• Represent the department by participating in both internal and external meetings.

• Act as a subject matter expert and offer training or shadowing assistance to new team members.

• Identify improvements in systems and processes, and update workflows accordingly.

• Lead special projects and updates.

⛳️ Requirements

• 8 years of experience in Revenue Cycle / Hospital Business Office functions (Customer Service, Billing, Follow-up) or equivalent industry experience.

• Completion of a relevant certification program in areas such as billing, medical office, coding, or accounting can replace 1 year of experience.

• A Bachelor's Degree may substitute for 4 years of experience; an Associate's Degree can substitute for 2 years of experience.

• High School diploma or equivalent is required.

• Familiarity with ICD-9/10, CPT, and HCPCS coding.

• Strong critical thinking and problem-solving abilities for account resolution.

• Understanding of explanations of benefits from managed care companies and relevant regulations.

• Ability to demonstrate teamwork and cooperation while adhering to FMOLHS policies, procedures, and core values.

• Effective communication, interpersonal, and collaboration skills.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and training.

• Supportive work environment that fosters teamwork and collaboration.

• Access to employee wellness programs and resources.