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 verification – using

📌 Patient Accounts Billing Representative (Madrid)
🏢 Johnson Regional Medical Center
📍 Madrid