Patient Account Representative II

🔥 10 minutes ago

🇺🇸 United States – Remote

💵 $34 - $38 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Account Manager

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Stanford Health Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1885

🏥 Healthcare

Healthcare

Stanford Health Care is a major academic medical center and integrated hospital system delivering comprehensive clinical care, specialty services, and patient support. The organization operates hospitals, outpatient clinics and programs, offers clinical trials and telehealth (video visits), and provides patient-facing services such as a MyHealth patient portal, billing/insurance assistance, and resources for referring physicians, nurses and allied health professionals. It also engages with the community through donations, visitor services, and COVID-19 resources.

📋 Description

• Process insurance balance patient claims accurately and promptly in accordance with contracts and policies • Resolve unpaid, underpaid, denied, or unresolved patient accounts • Perform accounts receivable collections and payer follow-up • Review payer clerical and technical denials and process requests, including basic appeals • Post payments in Epic and complete batch reconciliation and related adjustments • Review and resolve credit balances • Handle retroactive eligibility and registration • Reconcile underpayments • Respond to payer requests by providing medical records or other documentation via mail or payer portals • Follow up on unresolved patient accounts in Epic by contacting payers by phone or portal • Resolve claim edits, payer variances, rejections, and denials; perform appeals as necessary • Edit and submit electronic or hardcopy claims to payers • Recognize potential trends and escalate them appropriately • Complete basic charge corrections • Work primarily in Epic under general supervision and independently resolve standard queries and moderately complex assignments

🎯 Requirements

• High school diploma or GED equivalent • Two (2) years of progressively responsible and directly related work experience • Meets weekly individual productivity goals and standards while following planned priorities as set by the Team Manager • Can maintain professional communication with various PFS staff, payers, and patients regarding the billing of services • Ability to follow oral and written instructions and interpret institutional and other policies accurately • Ability to communicate clearly and professionally both verbally and in writing • Ability to maintain confidentiality of sensitive information • Ability to perform basic mathematics • Ability to plan, prioritize, and meet deadlines • Ability to work effectively with individuals at all levels of the organization • Knowledge of accounts receivable software systems and medical billing operations • Familiarity with medical reimbursement policies and procedures and medical terminology • Knowledge of payer landscape, including Medicare, Medicaid, Workers’ Compensation, Managed Care, or other Commercial insurance