At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Patient Account Representative II supports the revenue cycle functions of hospital and/or physician practices through advanced responsibilities in billing, collections, cash posting, and customer service. The role involves financial documentation, compliance with payer requirements, and internal coordination across departments. Representatives at this level demonstrate leadership, train staff, and contribute to continuous improvement efforts. Essential Functions Accurately processes patient accounts through billing, collections, and payment posting. Works complex A/R, claim rejections, edits, and follow-up tasks across systems. Files appeals, reconsideration requests, and manages payer correspondence. Identifies and reconciles overpayments and unidentified payments. Coordinates with other departments to resolve billing, denial, or cash application issues. Supports claim submission, including secondary billing as necessary. Provides training to new or existing team members. Assists in identifying process improvements to streamline operations and reduce denials or call volume. Demonstrates initiative and leadership in daily responsibilities and projects. Participates in A/R clean-up and revenue recovery initiatives. Maintains required productivity and accuracy standards. Knowledge/Skills/Abilities/Expectations Strong verbal and written communication skills. Ability to work independently and provide team leadership. High level of customer service and interpersonal interaction. Proficient in general accounting and bookkeeping. Thorough understanding of billing regulations, medical terminology, and payer guidelines. Proficient with Microsoft Office applications (Excel, Word, Outlook) and systems such as Epic and SSI (preferred). Operates 10-key pad efficiently (for cash posting functions). Able to analyze root causes of errors or delays to improve efficiency. Demonstrates professionalism, ownership, and a commitment to quality. Education High School Diploma or GED Equivalent Licenses/Certifications Relevant licensure and practices obtained within timeframe required by facility policy Experience Two (2) years previous hospital and/or physician business office experience preferred