Patient Account Representative

We’re excited to welcome TriHealth Clinton Regional Hospital to our system—marking a new chapter in our shared mission to deliver exceptional care and strengthen our regional network.

Location Advantage: Country Living with City Access

TriHealth Clinton Regional Hospital (CMH) is located at 610 W Main St, Wilmington, OH 45177 and it is a 165-bed hospital located in the heart of Wilmington, Ohio—a charming community that offers the tranquility and friendliness of country living. Nestled in a scenic rural setting, Wilmington provides a peaceful lifestyle with easy access to urban amenities. It’s centrally located just an hour’s drive from three of Ohio’s major metropolitan areas: Cincinnati, Dayton, and Columbus. This unique location allows healthcare professionals to enjoy a relaxed pace of life while staying connected to vibrant city culture and entertainment.

Work hours:

• Full-time
• Day shift 

Job Overview: 

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. 

Job Requirements:

• High School Diploma or GED Equivalent
• Experience: Two (2) years previous hospital and/or physician business office experience preferred

Job Responsibilities:

  - 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 appeal, 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

Working Conditions:

Bending - Frequently
Climbing - Rarely
Concentrating - Frequently
Continuous Learning - Frequently
Hearing: Conversation - Frequently
Hearing: Other Sounds - Frequently
Interpersonal Communication - Frequently
Kneeling - Occasionally
Lifting <10 Lbs. - Frequently
Lifting 50+ Lbs. - Frequently
Lifting <50 Lbs. - Occasionally
Pulling - Occasionally
Pushing - Occasionally
Reaching - Occasionally
Reading - Consistently
Sitting - Occasionally
Standing - Frequently
Stooping - Occasionally
Talking - Frequently
Thinking/Reasoning - Frequently
Use of Hands - Frequently
Color Vision - Frequently
Visua