We are looking for a detail-oriented Patient Account Representative to support revenue cycle operations for a healthcare organization in St. Paul, Minnesota. This Long-term Contract position focuses on reviewing patient accounts, preparing accurate billing activity, and helping secure timely reimbursement from insurance carriers and patients. The ideal candidate brings strong medical billing knowledge, sound judgment in resolving account issues, and a thoughtful approach when interacting with patients and internal teams.
Responsibilities:
- Review patient accounts for billing accuracy and prepare claims for submission to commercial insurance carriers and other third-party payors.
- Investigate and correct claim issues before submission so that billing is complete, compliant, and processed without unnecessary delays.
- Monitor unpaid or delayed accounts, research the cause of outstanding balances, and take appropriate action to move accounts toward resolution.
- Address technical denials by identifying root causes, updating account information, and coordinating corrections needed for successful adjudication.
- Communicate with patients, guarantors, payors, and internal departments in a courteous manner to support a positive financial service experience.
- Maintain thorough account documentation and perform follow-up activities to support reconciliation of back-end revenue.
- Use billing systems and standard office applications to manage account activity, track work queues, and meet productivity expectations.
- Carry out additional revenue cycle duties assigned by leadership in alignment with departmental goals and performance standards.
- High school diploma required; associate or bachelor’s degree is a plus.
- Prior experience in medical billing, patient accounts, revenue cycle operations, or insurance follow-up is required.
- Working knowledge of claim submission, denial resolution, adjudication, and outstanding balance management.
- Familiarity with medical terminology, coding concepts, and commercial insurance processes.
- Proficiency with Microsoft Excel, Word, and Outlook, along with strong general computer skills.
- Strong customer service and communication skills with the ability to interact professionally with patients and families.
- Ability to manage multiple accounts efficiently, investigate discrepancies, and maintain accuracy in a fast-paced environment.