Patient Account Representative

luminishealth · Annapolis, MD · Annapolis, MD

<div style="padding: 0in 0in 2.0pt 0in">POSITION OBJECTIVE</div>The Patient Account Representative works in the Luminis Health Clinical Enterprise Professional Business Office (PBO) providing professional and facility billing services within the Revenue Cycle. The incumbent manages the claims process, including accurate and timely charge review, claim creation, submission, and appropriate follow-up with insurance companies and patients. The Patient Account Representative provides outstanding service to both internal and external stakeholders, assisting in process improvements and inquiries, ensuring payments are appropriately recorded and adjudicated timely to maximize revenue.<div style="padding: 0in 0in 2.0pt 0in">ESSENTIAL JOB DUTIES & RESPONSIBILITIES</div>1. Practice Management & Systems OperationsDemonstrates proficient utilization of billing systems (e.g., Epic EHR) to update patient demographic and facility file information, manage pre-AR and post-AR charge sessions, and resolve billing workqueues. Appropriately edits claims and documents account actions using standard claim notes and system workflows. Utilizes clearinghouse portals, banking solutions, and ERA/EOB electronic tools to facilitate account resolution.2. Claims Submission & Payer Follow-UpDemonstrates a solid understanding of the end-to-end revenue cycle. Prepares, audits, and submits clean primary and secondary claims electronically or on paper according to payer specifications. Performs diligent third-party insurance follow-up on outstanding claims, resolving complex reimbursement barriers that adversely affect timely payment.3. Denial & Rejection ManagementAnalyzes insurance rejections and remittance denials to execute denial workflows. Performs root-cause analysis on recurring denial patterns and collaborates with cross-functional teams to resolve system, credentialing, or payer issues. Maintains accurate tracking, filing, and account documentation for all collections and follow-up activities.4. Patient Services & Customer CareResponds to patient and customer billing inquiries professionally and promptly via phone, written correspondence, or virtual communication tools. Facilitates resolution of financial balances, sets up approved payment arrangements, and explains financial assistance policies while strictly maintaining HIPAA and protected health information (PHI) privacy standards.5. Business Conduct & Workplace EfficiencyDemonstrates proficiency with Microsoft Office applications (Word, Excel, Outlook) and core communication platforms. Displays professionalism, adaptability, and a collaborative team attitude. Maintains high dependability, adherence to schedules, and consistent productivity in a deadline-driven, results-oriented environment.<div style="padding: 0in 0in 2.0pt 0in">QUALIFICATIONS & REQUIREMENTS</div>·       <span st

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