Patient Account Representative -"Biller" (Onsite – In-Person Role Required)

Are you detail-oriented, driven by accuracy, and passionate about supporting quality patient care behind the scenes? Henry Ford Behavioral Health Hospital is seeking a Patient Account Representative to join our Business Office team and play a vital role in ensuring timely reimbursement and efficient revenue cycle operations.

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

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required.

• Medical billing and collections experience in a hospital setting required.

• Strong knowledge of insurance claims processing, accounts receivable management, and reimbursement practices.

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  Experience working with Medicare, Medicaid, and commercial insurance payers preferred.
• Proficiency in healthcare billing systems and electronic claims processing.
• Psychiatric experience preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Not applicable

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

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The Patient Account Representative is responsible for managing and resolving outstanding insurance claims and patient accounts to ensure accurate billing and reimbursement. This position requires strong analytical skills, attention to detail, and the ability to work collaboratively with internal teams to support the financial health of the organization while contributing to a positive patient experience.

• Call and status outstanding claims with third party payors.
• Review claims issues and make corrections as needed and rebill.
• Utilize claims clearing house to review and correct claims. Resubmit electronically when available.
• Review explanation of benefits to ascertain that claim processed and paid correctly.
• Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
• Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.
• 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 system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
• Assist financial counselors as needed.
• Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.