Patient Account Representative, "Biller"

About the Role

Henry Ford Behavioral Health Hospital is seeking a Patient Account Representative to join our Business Office team. This full-time, onsite position is crucial for ensuring timely reimbursement and efficient revenue cycle operations, supporting quality patient care.

Key Responsibilities

• Call and status outstanding claims with third-party payors.
• Review claims issues, make corrections, and rebill.
• Utilize claims clearinghouse to review and correct claims; resubmit electronically when available.
• Review explanation of benefits to ascertain correct claim processing and payment.
• Complete adjustment forms and attach supporting documentation for account adjustments.
• Manage daily productivity via patient accounting system and productivity reports, maintaining a minimum average of 30-40 accounts worked per day.
• Prorate patient accounts and monitor that balance due is in the correct financial class.
• Report an overview of the week to the BOD and participate in AR meetings.
• Gather and interpret data from the system to determine and initiate time-sensitive and strategic steps for payment.
• Assist financial counselors as needed.
• Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.

Requirements & Tech Stack

• Medical billing and collections experience in a hospital setting required.
• Strong knowledge of insurance claims processing, accounts receivable management, and reimbursement practices.
• Proficiency in healthcare billing systems and electronic claims processing.
• Experience working with Medicare, Medicaid, and commercial insurance payers preferred.
• Psychiatric experience preferred.

Qualifications

• High school diploma or equivalent required.