Job Title: Patient Accounts Billing Representative

Supervised by: Business Office Director

Job Summary:

Responsible for billing and follow up of accounts in the Patient Accounts Department for assigned financial classes, according to documented procedures. A/R activities include but are not limited to:
- Claim status
- Billing/Rebilling claims
- Credit Balance resolution
- Denial Management
- Aged Account follow up and resolution
- Maintaining accurate and up-to-date account information
- Cash posting

Demonstrates Competency in the Following Areas:
- Claim Status – Follow up with payer prior to 35 days from last bill for accurate and complete status of the claim per documented payer and claim follow up procedure.
- Billing/Rebilling claims – Billing and rebilling claims accurately and timely per the payer and hospital-specific billing instructions.
- Credit Balance resolution – Resolving and preparing appropriate paperwork for credit balances per the department credit balance procedures.




- Denial Management – Resolving denied claims within 5 days of denial posting/notification from payer. Notifying management of issues creating unnecessary or excessive denials. Utilizing effective follow up and billing techniques to reduce and prevent denials.
- Aged Account follow up and resolution – Working reports of accounts aged over 90 days monthly to resolve aged account balances per payer and general follow up procedures. Notifying management of issues delaying payment on claims in a timely manner.
- Maintaining accurate and up-to-date account information on system – Following the system and reference procedures to ensure proper account status at all times. Proper adjustment being posted, proper insurance (financial class) assigned, proper account documentation and billing status.
- Cash posting – Posting patient payments, insurance payments, and adjustments.
- Stays informed about changes in Medicare, Medicaid and assigned commercial payers.
- Eligibility and coverage v

📌 Patient Accounts Billing Representative (Piedrafita del Cebrero)
🏢 Johnson Regional Medical Center
📍 Piedrafita del Cebrero