Revenue Cycle Patient Account Representative I
Core
Supports Saint Francis Health System by ensuring patients experience clear, accurate, and timely resolution of their accounts, reducing financial stress through correct insurance claim processing and efficient issue resolution.
Role type
Patient Account Representative
Builds
Accurate patient account outcomes and timely revenue cycle operations
Domain
Healthcare / Medical Billing and Insurance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical billing and insurance follow-up processes, Insurance coverage verification, Claims review and rejection research, Payer portal navigation, HIPAA compliance, No Surprise Act compliance, Account information updates, Denial and underpayment resolution via appeals and rebills, Trend monitoring for revenue cycle efficiency
Preferred skills
Health insurance field experience, Epic system proficiency
Technologies
Epic, Microsoft 365, Payer websites
Responsibilities
Verifies insurance coverage and ensures accurate representation of information on patient accounts; Processes tasks such as reviewing, handling follow-up actions, and ensuring timely resolution of work queue items; Reviews claims for accuracy, monitors electronic transmissions, researches rejections, and ensures proper posting of payments and adjustments; Conducts follow-up on outstanding balances by contacting insurance carriers, patients, and other stakeholders; Resolves denials and underpayments through appeals, rebills, and corrected claims; Identifies and addresses billing, coding, or demographic issues; Monitors trends, system issues, and payer behaviors to prevent delays and reduce aging.