Demo

Patient Account Representative – FT

Knoxville Hospital and Clinics
Knoxville, IA Full Time
POSTED ON 4/23/2025
AVAILABLE BEFORE 5/22/2025
This is a Full-Time position working 40 hours a week.

The Patient Account Representative is responsible for learning to process health insurance claims in accordance with all Federal, State and Local regulations, as well as, adhering to the requirements/guidelines mandated by private insurance payers via the hospital’s contractual agreements. The incumbent will obtain a working knowledge of electronic claims processing requirements, and all data elements associated with filing UB-04 and CMS 1500 claim forms for reimbursement from governmental and other third-party payers. The incumbent is also responsible for complete, accurate and timely follow-up on patient accounts to ensure compliance with the hospital’s key performance metrics. In addition, the incumbent must possess the necessary interpersonal skills needed to provide superior service levels to both internal and external customers.

Essential Functions

  • Reviews, corrects as necessary and submits/re-submits medical insurance claims of all types to various governmental programs and private insurance companies via a computerized software platform (Cerner).
  • Thoroughly documents in the “notes” section of the patient accounting system any actions pertaining to activity on assigned patient(s) financial records.
  • Completes balance transfers, conducts claim research, offers information/support to other peripheral partners in the department/hospital to assist in resolving questions/issues relating to patient accounts, performs certain limited write-off activities, processes late charges, resolves credit balances, files claim appeals, and keeps current on regulatory requirements for all insurance payers.
  • Processes insurance refund forms and resolves credit balances in accordance with hospital policy and various payer guidelines.
  • Interacts with representatives of various governmental and private insurance payers via telephone, databases, websites, written correspondence etc. to address/resolve medical claims related issues.
  • Actively supports the Customer Service Department in resolving customer queries, complaints and requests when called upon.
  • Performs other duties as assigned by the Department Leader or Supervisor based on the priorities and needs of the business, as applicable.

Job Requirements

  • REQUIRED – High School graduate or equivalent with some college background preferred.
  • A general knowledge of insurance payers, products and networks is strongly preferred
  • Previous experience with an Electronic Medical Records (EMR) system is preferred
  • Must be results-oriented, technically strong with good interpersonal skills, able to listen and follow directions consistently, work independently with minimal supervision, assist fellow team members when called upon, possess good oral and written communication skills in English, be able to multi-task and maintain a high level of accuracy, completeness, and timeliness.
  • Proficient in the use of a PC and other general office equipment.
  • Knowledge of MS Office software, including WORD, EXCEL, and OUTLOOK.

This is a Full-Time position with eligible benefits for medical, dental, vision, retirement plan with a company match of up to 6%, Flexible spending accounts, company paid basic employee life, employee AD&D, short term and long-term disability, accrued vacation and sick hours, and paid holidays.

Apply Now

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Patient Account Representative – FT?

Sign up to receive alerts about other jobs on the Patient Account Representative – FT career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$41,569 - $51,697
Income Estimation: 
$59,609 - $76,680
Income Estimation: 
$40,779 - $52,992
Income Estimation: 
$49,356 - $64,945
Income Estimation: 
$41,569 - $51,697
Income Estimation: 
$59,609 - $76,680
Income Estimation: 
$59,609 - $76,680
Income Estimation: 
$80,049 - $102,942
Income Estimation: 
$49,356 - $64,945
Income Estimation: 
$59,609 - $76,680
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at Knoxville Hospital and Clinics

Knoxville Hospital and Clinics
Hired Organization Address Knoxville, IA Full Time
This is a Full-Time position working 4 days a week M, W-F – 9.5 hours a day. The Clinic Operator provides support for th...

Not the job you're looking for? Here are some other Patient Account Representative – FT jobs in the Knoxville, IA area that may be a better fit.

Patient Account Representative - FT

Knoxville Hospital & Clinics, Knoxville, IA

Patient Account Representative – FT

Knoxville Hospital & Clinics, Knoxville, IA

AI Assistant is available now!

Feel free to start your new journey!