Patient Account Representative II
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Patient Account Representative II resolving U.S. healthcare claims for Stanford Health Care. Managing payer follow-up, denials, underpayments, payments, credit balances, and appeals in Epic.
Responsibilities:
- 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
- Review payer variances and pursue underpayments
- Review and resolve payer rejections and denials, and perform appeals as necessary
- Edit and submit electronic or hardcopy claims to payers
- Recognize potential trends and escalate them appropriately
- Post payments and related adjustments in Epic
- Resolve credit balances
- Complete basic charge corrections
Requirements:
- High school diploma or GED equivalent
- Two (2) years of progressively responsible and directly related work experience
- Meet weekly individual productivity goals and standards while following planned priorities
- Maintain professional communication with PFS staff, payers, and patients
- Follow oral and written instructions and accurately interpret institutional and other policies
- Communicate clearly and professionally verbally and in writing
- Maintain confidentiality of sensitive information
- Perform basic mathematics
- Plan, prioritize, and meet deadlines
- Work effectively with individuals at all organizational levels
- 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 commercial insurance
- Strong working knowledge of systems and processes
- Ability to resolve standard queries and problems independently and handle moderately complex assignments requiring critical thinking
Similar Jobs
Key Account Manager – Oncology
Key Account Manager Oncology positioning Deciphera’s QINLOCK and ROMVIMZA across Southern Germany. Developing territories, engaging clinical stakeholders, and driving regional market activities.
Retail Territory Manager
Retail Territory Manager driving Mondelēz snack sales and in-store execution across southeast Michigan. Managing merchandisers, customer relationships, displays, ordering, and territory growth.
Virtual Account Manager, Wound Care
Virtual wound-care sales manager educating U.S. clinicians and supporting product adoption for Connexio Health’s healthcare commercialization programs. Managing remote sales pipelines and customer relationships.
Key Account Manager
Key Account Manager supporting AbbVie's innovative medicines and health solutions in Russia. Managing key accounts across AbbVie's healthcare and Allergan Aesthetics portfolios.
Territory Manager
Territory Manager growing Heritage Insurance agency partnerships across Northern California. Developing agencies, analyzing performance, delivering sales strategies, and representing the company at industry events.
Account Manager
Account Manager scaling 200-300+ client portfolios for RTB House’s AI-powered performance advertising platform. Driving retention, expansion, campaign optimization, and client support across international markets.
Channel Account Manager – VAR/Reseller Channel
ASUS channel sales manager driving commercial PC and services growth through U.S. VAR and reseller partners. Developing partner strategies, sales pipelines, and private-sector demand.
Senior Key Account Manager, DACH
Senior KAM expanding Jamf’s Apple device management and security sales across DACH enterprise accounts. Retaining customers, building pipelines, and driving adoption of Jamf’s Apple workplace solutions.
Account Coordinator
Customer Support Representative helping Wellcove clients use EVV and Facility platforms. Supporting compliant home care and facility invoice delivery to long-term care insurance carriers.
Senior Key Account Manager – Packaging and Labeling
Senior Key Account Manager driving strategic packaging adhesive sales for Henkel’s Adhesive Technologies business. Managing key accounts, RFPs/RFQs, value propositions, executive engagement, and business reviews.
Customer Account Manager – Alternate Channel
Customer Account Manager expanding Dreyer’s frozen-treats distribution across U.S. alternate channels. Building partnerships, negotiating promotions, forecasting sales, and driving profitable growth.
Director – Community Partnerships
Community partnerships director scaling Sandy Hook Promise’s youth violence prevention programs through out-of-school-time initiatives. Leading national partnerships, pilots, implementation infrastructure, and cross-functional program delivery.
Senior Account Manager, Recruitment
Senior Account Manager supporting clients after hiring remote talent through RunRemote, a global staffing agency. Managing onboarding, relationships, contractor engagement, replacements, and account growth from the Philippines.
Paralegal – Partnerships, Procurement and Corporate Governance
Paralegal supporting Coalfire, a cybersecurity consultancy, with partnership and procurement contracts. Managing corporate governance, entity records, filings, and board materials.
Payments Partnership Manager
Payments Partnership Manager expanding PSP, acquirer, and fintech relationships for Mayflower’s global entertainment platforms. Coordinating negotiations, partner operations, sourcing, and launches.
Patient Account Representative
Patient Account Representative processing insurance claims and billing for Advance Rehabilitation, a Southeast physical therapy services company. Managing payments, discrepancies, accounts receivable, and patient inquiries.
Deputy Director – Strategic Partnerships, Funding
Deputy Director securing strategic funding and partnerships for War Child’s education programme. Leading blended finance, donor negotiations and income diversification across crisis-affected contexts.
Public Safety Account Manager
Partner Development Associate expanding VIDIZMO’s AI video intelligence SaaS reseller network. Supporting public safety and government partners through sales cycles and pipeline growth.
Account Manager – Major Accounts
Account Manager supporting Rightmove, the UK’s largest property portal, by growing and retaining estate-agent partner accounts. Presenting data-led solutions, managing KPIs, and resolving partner needs.
Mid-Market Account Manager
Mid-Market Account Manager growing revenue for Absorb Software’s AI-driven learning platform. Expanding customer accounts through upsells, cross-sells, renewals, and land-and-expand opportunities.