Patient Account Representative

The Patient Account Representative is responsible to manage the billing and collections related tasks associated to patient accounts for hospital and clinic facilities. The primary purpose of this position is to perform timely and accurate billing and/or collections to patient's insurance carrier; these carriers may include Commercial, Managed Care, Government, and/or Third-Party carriers. This role performs follow-up activities to ensure accounts are processed and paid accurately, billed/appealed timely and to ensure other necessary actions are completed to resolve open AR balances including credit balances. May perform other duties as assigned which include; communicating with internal departments, insurance payers, patients and other healthcare providers, training, AR projects and participating in training classes and other meetings related to Patient Financial Services

• Perform necessary billing and follow-up functions as directed by department leadership.
• Demonstrate understanding of relevant terminology (e.g., financial and/or medical) required for claim processing.
• Demonstrate and maintain understanding of state, federal and third-party regulatory requirements as they apply to revenue cycle operations (e.g., o Health-care reform, state surcharges, CMS)
• Must have proficient knowledge and the ability to accurately utilize all reimbursement tools including payer contracts, claims workflow systems, and expected reimbursement software.
• Demonstrate, maintain understanding of, and comply with hospital/clinic billing policies and procedures.
• Responsible for collecting accurate information and verifying all documentation necessary for timely billing and resolution of patient accounts.

Required

• High School Graduate or GED
• Graduate 1+ years experience with billing, collections, and/or Revenue Cycle operations in an acute care or ambulatory setting.
• Typing Speed 40 WPM required and Ten Key – 8,000 keystrokes per hour. 
• Knowledge of Government and/or Non-Government billing and collections regulations.  
• Knowledge of claim submission, claims follow-up, appeals process, and medical and billing terminology.

St. Joseph's Medical Center is a member of Dignity Health. The word dignity perfectly defines what our organization stands for showing respect for all people by providing excellent care. St. Joseph's Medical Center was founded in 1899 under the direction of the Dominican Sisters of San Rafael and is a not-for-profit, fully-accredited regional hospital with 395 beds, a physician staff of over 400 and more than 2400 employees. Specializing in cardiovascular care, comprehensive cancer services, and women and children's services, including neonatal intensive care, St. Joseph's is the largest hospital, as well as the largest private employer, in Stockton, California. Nationally recognized as a quality leader, St. Joseph's is consistently chosen as the most preferred hospital by local consumers.

One Community. One Mission. One California