Luminis Health
Patient Account Representative - Lead
Luminis Health, Annapolis, Maryland, United States, 21403
Position Objective
Under the direct supervision of the Physician Reimbursement Supervisor, the Lead Patient Accounts Representative works in the Professional Billing Office (PBO) providing continuous support and education to our internal and external teams in regards to collections, adjustments, appeals, remittance review, and other related functions. Responsibilities include reviewing accounts, handling adjustments and refund requests, communicating account details and payer issues to management.
The role serves as a primary resource for supporting staff with billing services and acts as a subject‑matter expert for workflow questions. Escalation of issues to the Supervisor of Patient Accounts is required when needed. The incumbent may also perform Patient Accounts representative duties and other management‑delegated assignments.
Responsibilities
Primary resource for questions and project‑related matters.
Support development of the physician reimbursement team by setting tone for work ethic, efficiency, proficiency, and professionalism; present to medium‑large audiences on revenue cycle workflows and system upgrades.
Proficient use of EPIC system: update facility files, patient demographics, edit claims, send/receive claim notes, and train on all work queues.
Insurance issues competence: post charges, payments, adjustments; manage undistributed payments; handle claims overpayments, collections, pre‑bill/post‑bill queues; apply medical coding knowledge; serve as payer liaison to convey policy updates.
Organizational efficiency: manage follow‑up account activity, maintain proper organization, time management, tracking, resolution, and documentation; facilitate workflow for accounts receivable and claim submission; review denials, prosecute uncollectible accounts, recommend adjustments, and alert leadership to trends.
Cross‑functional resource for Customer Service, Revenue Integrity, and Cash Operations teams.
Execute special projects assigned by Physician Reimbursement Supervisor/Manager.
Assist in training and onboarding new staff; support special projects per management direction.
Report metrics and trends to the Physician Reimbursement Supervisor promptly.
Collaborate with Supervisory and Revenue Integrity teams to adapt and revise SOPs and training workflows.
Education & Experience Requirements
High School Diploma or GED.
Excellent interpersonal and communication skills.
Collaboration ability across internal and external departments.
Three or more years of professional billing and/or revenue cycle experience.
Proficient in teaching and providing appropriate feedback.
Highly organized, detail‑oriented, flexible, and able to prioritize and adapt to new processes.
Preferred Qualifications
Experience with EPIC system.
Technical Medical Billing Coding certification.
Five or more years of billing experience, including ICD‑10, CPT/HCPCS coding, and medical terminology.
Proficiency operating a multi‑line phone system, fax/copier/scanner, and credit card machines.
PC proficiency; typing at least 40 wpm.
Ability to sit, stand, lift, bend, and move intermittently during work hours.
Available Monday‑Friday during normal business hours.
Strong written and verbal English communication skills.
Independent, organized work style with sound judgment.
Professional and courteous disposition; clean appearance; business attire required.
Microsoft Office/Google Suites proficiency; Outlook, Word, Excel.
Experience in claims processing, insurance follow‑up, and collections in a healthcare or physician practice environment.
Exposure to at least three professional billing specialties.
Intermediate Excel skills: formulas, pivot tables, V‑lookup.
Working Conditions & Physical Demands Light duty; employees are not expected to be exposed to blood‑borne pathogens. Reasonable accommodations may be made for individuals with disabilities. Physical demands include standing, lifting, bending, and walking intermittently.
Pay Range $20.00 – $25.13 USD per hour.
Benefits Overview
Medical, Dental, and Vision Insurance
Retirement Plan with employer match after 1,000 hours worked in a calendar year.
Paid Time Off
Tuition Assistance
Employee Referral Bonus Program
Paid Holidays, Disability, and Life/AD&D for full‑time employees
Wellness Programs
Employee Assistance Program
Benefits vary with employment status.
Optional Text Notifications Luminis Health’s two‑way SMS texting platform sends notifications and updates from our Talent Acquisition team directly to your phone. Opt in to receive text messages and updates from a recruiter. You can opt out at any time. Standard text messaging rates may apply based on your mobile carrier plan.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Health Care Provider (Hospital and Health Care industry)
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The role serves as a primary resource for supporting staff with billing services and acts as a subject‑matter expert for workflow questions. Escalation of issues to the Supervisor of Patient Accounts is required when needed. The incumbent may also perform Patient Accounts representative duties and other management‑delegated assignments.
Responsibilities
Primary resource for questions and project‑related matters.
Support development of the physician reimbursement team by setting tone for work ethic, efficiency, proficiency, and professionalism; present to medium‑large audiences on revenue cycle workflows and system upgrades.
Proficient use of EPIC system: update facility files, patient demographics, edit claims, send/receive claim notes, and train on all work queues.
Insurance issues competence: post charges, payments, adjustments; manage undistributed payments; handle claims overpayments, collections, pre‑bill/post‑bill queues; apply medical coding knowledge; serve as payer liaison to convey policy updates.
Organizational efficiency: manage follow‑up account activity, maintain proper organization, time management, tracking, resolution, and documentation; facilitate workflow for accounts receivable and claim submission; review denials, prosecute uncollectible accounts, recommend adjustments, and alert leadership to trends.
Cross‑functional resource for Customer Service, Revenue Integrity, and Cash Operations teams.
Execute special projects assigned by Physician Reimbursement Supervisor/Manager.
Assist in training and onboarding new staff; support special projects per management direction.
Report metrics and trends to the Physician Reimbursement Supervisor promptly.
Collaborate with Supervisory and Revenue Integrity teams to adapt and revise SOPs and training workflows.
Education & Experience Requirements
High School Diploma or GED.
Excellent interpersonal and communication skills.
Collaboration ability across internal and external departments.
Three or more years of professional billing and/or revenue cycle experience.
Proficient in teaching and providing appropriate feedback.
Highly organized, detail‑oriented, flexible, and able to prioritize and adapt to new processes.
Preferred Qualifications
Experience with EPIC system.
Technical Medical Billing Coding certification.
Five or more years of billing experience, including ICD‑10, CPT/HCPCS coding, and medical terminology.
Proficiency operating a multi‑line phone system, fax/copier/scanner, and credit card machines.
PC proficiency; typing at least 40 wpm.
Ability to sit, stand, lift, bend, and move intermittently during work hours.
Available Monday‑Friday during normal business hours.
Strong written and verbal English communication skills.
Independent, organized work style with sound judgment.
Professional and courteous disposition; clean appearance; business attire required.
Microsoft Office/Google Suites proficiency; Outlook, Word, Excel.
Experience in claims processing, insurance follow‑up, and collections in a healthcare or physician practice environment.
Exposure to at least three professional billing specialties.
Intermediate Excel skills: formulas, pivot tables, V‑lookup.
Working Conditions & Physical Demands Light duty; employees are not expected to be exposed to blood‑borne pathogens. Reasonable accommodations may be made for individuals with disabilities. Physical demands include standing, lifting, bending, and walking intermittently.
Pay Range $20.00 – $25.13 USD per hour.
Benefits Overview
Medical, Dental, and Vision Insurance
Retirement Plan with employer match after 1,000 hours worked in a calendar year.
Paid Time Off
Tuition Assistance
Employee Referral Bonus Program
Paid Holidays, Disability, and Life/AD&D for full‑time employees
Wellness Programs
Employee Assistance Program
Benefits vary with employment status.
Optional Text Notifications Luminis Health’s two‑way SMS texting platform sends notifications and updates from our Talent Acquisition team directly to your phone. Opt in to receive text messages and updates from a recruiter. You can opt out at any time. Standard text messaging rates may apply based on your mobile carrier plan.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Health Care Provider (Hospital and Health Care industry)
#J-18808-Ljbffr