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Patient Account Representative 1 - Full Time / Days

Job Description - Patient Account Representative 1 - Full Time / Days

At Island Health, people are at the center of everything we do. As a part of the Patient Accounts team, you’ll play a vital role in supporting our mission to care for those who care for others. You’ll help create a positive and seamless experience for every team member — ensuring they feel valued, supported, and heard



  • Location: Anacortes, WA / Onsite

  • Schedule: Full Time / Days

  • Salary Range: $21.18 – $31.47 per hour

    • Shift Differentials:

      • Night Differential - $2.25

      • Evening Differential - $1.65

      • Weekend Differential - $1.50






For Information on Employee Benefits and SEIU Contract


Responsible for the financial activities of the patient from discharge through the billing process ending in final reconciliation of the account.  The representative utilizes electronic billing and medical retrieval system, follows up on outstanding accounts and unpaid balances to maximize fee collections.


What you will be doing:



  • Answers inbound phone inquiries and place outbound calls to resolve outstanding balances.

  • Works with patients to determine eligibility for Hospital programs. Initiates and processes charity application and payment plans through collection, review and completion of appropriate forms based on hospital policy.

  • Answers patient’s questions regarding statements and insurance coverage.

  • Telephones or writes companies with unpaid insurance claims to obtain settlement of claim.

  • Effectively handles all communications, including telephone and email, from patients, and other departments within the hospital.

  • Initiates collection of bad debt accounts.

  • Follows departmental policies/procedures and meets deadlines and productivity standards for work files, including but not limited to:

  • Managing assigned patient accounts

  • Identifying accounts eligible for transfer to outside collection agencies

  • Ensuring the accuracy of registration data including health insurance

  • Initiating appropriate billing

  • Processing patient correspondence

  • Collaborating with outside collection agencies

  • Effectively negotiating payment plans & settlements

  • Resolving patient account credits.

  • Completing necessary reports to support regulatory requirements

  • Other duties as assigned


What you will bring to the role:



  • Minimum of one year healthcare customer service experience.

  • Previous insurance experience preferred.

  • Working knowledge of CPT-4 & ICD-10 coding and Medicare Review required.

  • Ability to apply principles of rational systems to solve practical problems and deal with a variety of concrete variables.

  • Ability to interpret instructions in written, oral, diagrammatic, or schedule form.

  • Can communicate effectively in both written and oral form.

  • Familiarity with computers and common MS Office products; Outlook, Word, Excel.

  • Ability to prioritize tasks.


Make a Difference with Us


At Island Health, every role contributes to our mission of compassionate, high-quality care. Join us and help create a workplace where every team member feels valued and supported.


Why You’ll Love Working Here


We believe in taking care of our people so they can take care of others. When you join Island Health, you’ll enjoy a culture that values integrity, compassion, teamwork, and growth — plus a robust benefits package that includes:



  • Comprehensive Medical, Dental, and Vision Insurance

  • Generous Paid Time Off and Extended Illness Benefits

  • Life Insurance and Long-Term Disability Coverage

  • Vested Retirement Contributions and Flexible Spending Accounts

  • Tuition Reimbursement and Student Loan Repayment Programs

  • Employee Recognition Events and a supportive, community-focused team


Ready to Apply?


Apply today and take the next step in your career with Island Health.

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About the Company

Island Health Careers

Island Health has provided award-winning care to Anacortes and beyond since 1962, practicing courageous care with the most talented teams of providers.

Read more about the company

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