Patient Account Representative - Patient Bus Svs

We are seeking a detail-oriented, motivated professional to support our healthcare revenue cycle operations through accurate billing, effective insurance follow-up, and timely account resolution. This role is responsible for maximizing insurance reimbursement, managing accounts receivable, researching and appealing claim denials, identifying payment discrepancies, and ensuring compliance with insurance carrier and regulatory requirements. The position works collaboratively with SPH team members to resolve outstanding balances, maintain accurate account documentation, and support overall financial performance. Success requires strong analytical and communication skills, attention to detail, accountability, and a commitment to exceptional customer service while meeting established quality and productivity standards.

KNOWLEDGE/EXPERIENCE:

• Previous work experience in insurance billing regulations and understanding insurance contracts preferred but not mandatory
• Knowledge of state and federal regulations as they relate to the billing process preferred but not mandatory
• Proficient keyboard/ 10 key skills and working knowledge of computers required.
• Good verbal and written communication skills.
• Strong data entry, ten key skills and working knowledge of computer required.
• Exceptional customer service and interpersonal communication skills.
• Proficient in examining documents for accuracy and completeness.
• Ability to multitask and manage time effectively.
• Ability to grasp, retain, and apply new regulations
• Mathematical, organization skill and business correspondence skills.
• Basic knowledge in downloading/creating spreadsheets in Microsoft Excel

EDUCATION:     

• High School diploma or GED required.
• Completes Patient Financial Services I training within first 5 month