What are the responsibilities and job description for the Hospital Patient Accounts Representative position at Ely-Bloomenson Community Hospital?
The Hospital Patient Accounts Representative handles patient billing and verifies medical insurance coverage. The Hospital Patient Accounts Representative’s responsibilities include liaising with medical insurance providers to resolve payment issues, assisting patients in understanding medical insurance benefits, and refund processing.
At Ely-Bloomenson Community Hospital (EBCH), we believe in delivering exceptional care to every patient, every time, and that starts with supporting our team. We offer competitive pay, outstanding benefits, and a healthy work-life balance. Whether you’re providing direct patient care or supporting hospital operations, you’ll be part of a team that values excellence and professional growth.
Responsibilities
- Verifies insurance coverage, benefits, and updates patient demographics and insurance information.
- Document complaints and correspondence received from patients and/or insurance carrier and directs them to appropriate team leaders and executives.
- Reviews credit balance accounts to determine if a refund should be issued to insurance or patient.
- Monitor claims resolution by utilizing practice management systems and applications.
- Complete timely insurance follow-up by using payor websites and contacting payors to resolve unprocessed claims and denials.
- Identify billing problems from EOBs and work to correct the errors according to payor guidelines.
- Performs receptionist duties or admitting duties when needed.
- Performs admission notifications and prior authorizations when needed.
- Enters and posts payments/charges/adjustments into the hospital practice management system when needed.
- Keys data into computer system for the General Ledger transactions in the Billing Accounts Receivable module.
- Answers inquiries from customers promptly and courteously.
- Processes electronic patient payments in person or over the phone.
- Sets up payment plans in the management system.
- Updates the patient's accounts to identify actions taken on the account.
Wage
- $21.07 - $24.94 per hour.
Schedule
- 40 hours per week, Monday – Friday.
Full-time Benefits
- Generous paid vacation, sick and safe time, and several paid holidays!
- Medical Insurance Plans through Blue Link with up to $4,000 annual HSA EBCH Contribution (based on plan enrollment)
- Dental Insurance
- Vision Insurance – Policy paid 100% by EBCH
- 403(b) Retirement Plan with EBCH Contribution
- Health Care and Dependent Care FSA
- Short-term and Long-term Disability Insurance – Policies paid 100% by EBCH
- $75,000 Life and AD&D Insurance Plan - Policies paid 100% by EBCH
- Optional Supplemental Life Insurance for you and your family at a low rate
- On-site Employer Daycare with Employee Discounted Rates
- Bucketlist Rewards & Employee Recognition Program
- Employee Assistance Program
- Benefits and eligibility may vary based on FTE status. Daycare enrollment based on availability
Required Qualifications
- High School Diploma or Equivalent required.
- Business-oriented curriculum or minimum of one year experience in Receptionist or Admitting Clerk position in health care setting and minimum of 6-months experience in claims submission and claims adjudication; or training/certificate from a billing or similar program.
- Demonstrated understanding of contractual adjustments to determine if balance of account is patient liability, provider liability or can be sent for review/appeal.
Preferred Qualifications
- Knowledge or experience using EPIC is preferred.
- Knowledge of CPT codes, DX codes, and Rev Codes is preferred.
- Knowledge of various medical insurance programs and billing requirements is preferred.
About EBCH
We’re more than a healthcare provider, we’re a close-knit team dedicated to caring for our neighbors and strengthening the community we call home. Guided by our mission to enhance the health and well-being of the community we serve, we take pride in delivering compassionate, high-quality care close to home.
Our team embodies values of excellence, balance, compassion, and honor. We listen to our patients and each other, support personal and professional growth, and celebrate individuality. At EBCH, you’ll find a workplace where you’re valued, trusted, and empowered to make a difference every day — both inside and outside the hospital walls.
Job offers are contingent upon successful completion of passing a background study, fingerprinting, and reference check process. EBCH is committed to maintaining a work environment free from the influence of illegal drugs and alcohol.