Patient Account Specialist

5 days ago


Granite City, Illinois, United States Gateway Regional Medical Center Full time
Job Title: Patient Account Representative

We are seeking a highly skilled and detail-oriented Patient Account Representative to join our team at Gateway Regional Medical Center.

About the Role:

As a Patient Account Representative, you will be responsible for performing patient account insurance follow-up, credit balance review and resolution, and ensuring the hospital's accounts receivable are accurate and up-to-date.

Key Responsibilities:
  • Insurance Follow-up: Follow up with insurance carriers to ensure timely processing of claims and resolve any outstanding balances.
  • Credit Balance Process: Review and resolve credit balance accounts for incorrect contractual adjustments.
  • Communication: Respond to insurance carrier correspondence and answer incoming calls to resolve insurance issues in a timely manner.
  • Knowledge: Possess working knowledge of HMO, PPO, Commercial, and Workers' Compensation reimbursement, as well as Managed Care contract language and interpretation.
Requirements:
  • High School graduate or equivalent.
  • Minimum 1-year previous Commercial, HMO, PPO, and Workers Compensation billing and/or insurance follow-up experience.
What We Offer:

Essential and stable company with opportunities for training and advancement within the medical field. Competitive market pay and opportunities for bonus based on great work performance.

We offer comprehensive employee benefits, including medical, dental, and vision insurance, as well as opportunities for professional development and growth.



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