Lead, Patient Account Rep (Commercial billing/collections)--PFS-FT

MCSS-MemorialCare Shared Svcs
Full Time
Day Job
Job Listing: 
Patient Financial, Claims, Billing

Job Summary:

The Commercial Patient Account Representative, Lead, is responsible for assisting staff with the commercial billing and/or collection of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible. 

Duties & Responsibilities:

  • This position will have working knowledge and understanding of managed care contracts including other complex payment methodologies to ensure prompt and accurate reimbursement.
  • This position must be able to utilize and understand many complex and varying State and Federal statutes and regulations, guidelines and systems, and perform the account follow-up function with all Commercial payors and government agencies to obtain maximum and correct reimbursement of accounts receivables.  
  • This position proactively interacts with insurance companies, government agencies and/or patients to obtain maximum and correct reimbursement of accounts receivable.  I
  • This position works with all payors and internal resources to identify and resolve issues that hinder account payment. 
  • Applies independent judgment, research and knowledge to audit payor payments, denials, appeals and billing issues.
  • Assists with department workload and provides support to staff, as directed. 
  •  Supports Management with day-to-day operations and works closely with the department Coordinator to ensure a high level of performance with a commitment to continuous improvement

Experience & Qualifications:

  • Minimum 4 years� experience and understanding of commercial hospital billing and collections processes, required
  • Excellent interpersonal skills
  • Understand and follow oral and written instructions
  • Positive work ethics
  • Bi-lingual preferred
  • Knowledge of medical terminology and coding, preferred
  • Written and verbal communication skills to meet productivity standards
  • Use of 10-key calculator by touch preferred
  • Microsoft Office and Outlook experience


  • High School diploma, GED equivalent, preferred
  • Business related courses, preferred
  • AA Degree or medical field certificate, preferred
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