Patient Accounts Representative II

Howard University Hospital Washington DC

Role Summary

As a Patient Accounts Representative II at Howard University Hospital you will play a critical role in the financial health of our institution ensuring that the care our clinicians deliver is properly billed accurately paid and compliantly documented. Reporting to the Manager of Patient Accounts you will manage hospital accounts from claim creation through final adjudication working third-party payers government programs and managed care plans to resolve unpaid balances and protect Hospital revenue.

If you bring deep experience in hospital billing and collections an eye for detail and the persistence to work claims to resolution this is your opportunity to contribute to the financial sustainability of one of the nations most storied academic medical centers.

What Youll Do

Account & Insurance Management

• Review and update patient account insurance information ensuring third-party payer information is complete and accurate
• Enter and update patient insurance contract revenue and reimbursement data into one or more hospital applications
• Verify insurance eligibility and covered services to support accurate claim creation and timely adjudication

Billing & Claims

• Prepare and submit hardcopy and electronic billing claim packages collecting all necessary materials for proper claim creation and modification
• Make payer-specific data changes as required for accurate compliant and timely billing
• Verify that payments and account balances align with payer contracts and applicable billing rules and regulations

Collections & Denial Resolution

• Contact insurance carriers as scheduled by the collection tool; communicate clear action plans when adjudication is delayed
• Identify review and resolve denied claims daily; monitor accounts receivable status using Siemens Invision Unity ePremis EDM the Medicaid and Medicare portals CareFirst and MCO portals
• Perform payer remittance and reimbursement posting reconciliation; ensure reimbursement is consistent with payer contractual terms before performing adjustments or billing patient responsibility
• Review and resolve credit balances accurately; report out-of-the-ordinary circumstances to immediate supervisors for investigation

Customer Service & Documentation

• Receive and respond promptly to internal and external phone calls correspondence and inquiries related to patient accounts
• Prepare and maintain supporting data and documents on all required activities within the hospital system as defined by departmental guidelines

Compliance & Regulatory

• Promote adherence to the Health Sciences Compliance Program the Howard University Code of Ethics the Health Sciences Standards of Conduct and HIPAA
• Attend annual and periodic mandatory compliance training including HIPAA Privacy training; actively participate in compliance program activities
• Participate in activities that promote adherence to federal healthcare program requirements
• Maintain strict confidentiality of patients families and staff

Required Qualifications

• High School Diploma or General Equivalency Diploma (G.E.D.) required
• Minimum of five (5) years of experience in billing collections customer service or cash posting required
• Hospital setting experience required
• Acute care facility experience required including inpatient stay collection DRG reimbursement and Medicare and Medicaid payer experience
• Certified Patient Account Representative (CPAR HFMA) or Certified Revenue Cycle Specialist Institutional (CRCS-I AAHAM) certification required and must be retained throughout employment
• Demonstrated ability to produce accurate Medicare Medicaid and commercial payer claims that yield substantiated reimbursement
• Proficiency in Microsoft Office (Outlook Excel Word PowerPoint); strong basic computer and math skills
• Strong organization problem-solving and time-management skills; ability to work independently in a collaborative environment

What We Offer

• Work-life balance
• Recognition and rewards for professional expertise
• Competitive comprehensive benefit plans including health disability vacation sick leave and 403(b) retirement plan
• Tuition remission at Howard University for you and/or eligible dependent children up to two (2) courses per semester
• A mission-driven environment rooted in over 150 years of excellence service and advocacy for the communities we serve

About Howard University Hospital

Howard University Hospital (HUH) is the nations only teaching hospital located on the campus of a historically Black university. With a legacy dating back to 1862 when it operated as Freedmens Hospital providing care and refuge to those who had been denied it elsewhere HUH has grown into one of the most comprehensive healthcare facilities in the Washington D.C. metropolitan area and is a designated DC Level 1 Trauma Center. Today HUH continues its proud tradition of delivering exemplary patient-centered and culturally responsive care to the community while providing exceptional learning and professional development opportunities for the next generation of healthcare professionals.

Position Details

Pay & Schedule

This is a full-time non-exempt position covered under the Local 2094 collective bargaining agreement. Pay range: $19.00 $30.40/hr commensurate with experience and qualifications.

Compliance Statements

Culture of Care: Howard University Hospital supports a Just Culture that promotes accountability learning and patient safety.

Equal Opportunity Employer: Howard University Hospital is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race color religion sex national origin age disability veteran status sexual orientation gender identity or any other status protected by applicable law.

Reasonable Accommodation: Howard University Hospital is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state and local laws. If you require an accommodation during the application or interview process please contact the Human Resources Department at .

Pay Transparency: Salary ranges listed in job postings reflect the expected compensation range for the position and are provided in accordance with applicable pay transparency laws. Final compensation is determined based on experience education internal equity and other relevant factors.

Disclaimer: The above statements describe the general nature and level of work performed. They are not intended to be an exhaustive list of all duties responsibilities or qualifications associated with the position.