Patient Account Representative - Professional Billing

The role

The Patient Account Representative works in the Luminis Health Clinical Enterprise Professional Business Office. This person manages the claims process, including charge review, claim submission, and follow-up with insurance companies and patients.

What you will do

• Update patient demographic and facility file information in billing systems.
• Manage pre-AR and post-AR charge sessions and resolve billing workqueues.
• Edit claims and document account actions using standard workflows.
• Prepare, audit, and submit primary and secondary claims.
• Perform third-party insurance follow-up on outstanding claims.
• Analyze insurance rejections and remittance denials to execute denial workflows.
• Perform root-cause analysis on recurring denial patterns.
• Respond to patient and customer billing inquiries via phone, written correspondence, or virtual tools.
• Facilitate resolution of financial balances and set up payment arrangements.
• Maintain HIPAA and protected health information privacy standards.

Required qualifications

• High school diploma or GED
• Proficient in Microsoft Office (Word, Excel, Outlook)
• Comfortable communicating professionally via internet and virtual collaboration tools

Nice to have

• Two to four years of multi-specialty billing experience
• ICD-10, CPT, and HCPCS coding and medical terminology or related experience
• Experience in Epic EHR

Benefits

• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs

About the company

Luminis Health provides professional and facility billing services within the Revenue Cycle through its Clinical Enterprise Professional Business Office.