Patient Accounts Representative

Date Posted
October 1 2025

Butler County Health currently has an opening for a Patient Accounts Representative. This full-time position includes helping patients understand their health insurance benefits and financial responsibility.  The successful candidate will be one who enjoys working independently on a variety of tasks.  Essential duties include providing patients with out-of-pocket estimates for planned procedures, establishing patient payment plans, and maintaining patient billing records, including posting receipts. Other general office duties such as answering and transferring calls, etc. Rotating Saturday hours are required (generally every seventh Saturday).   Bachelor’s degree or equivalent in business related field or comparable hospital finance or patient accounting work experience required.      

Closing Date: 10/14/2025

We offer competitive compensation and benefit packages, tuition assistance, loan forgiveness programs and opportunities to advance in your career.

EEO Employer/Vet/Disabled

ESSENTIAL DUTIES AND RESPONSIBILITIES including the following.  Other duties may be assigned.

Understand and comply with the requirements of the Hospital’s Compliance Program, including, but not limited to the Code of Conduct, The Compliance Policy, all organization-wide policies for compliance and compliance plans affecting specific duties and responsibilities.

Participate in all education and training programs regarding compliance as required by Hospital policy and as requested by supervisor.

  • Provide patients with out-of-pocket estimates and Good Faith Estimates for upcoming services
  • Contact third party payors to obtain information regarding health insurance plan benefits
  • Contact patients and pursue collections.
  • Establish patient payment plans
  • Make judgments about which accounts to refer to collections agency or bank loan program.
  • Process patient loans for the bank loan program
  • Identify account overpayments and process refunds.
  • Receive and record all receipts, deposits, and adjustments.
  • Maintain patient billing records.
  • Balance accounts receivable daily.
  • Keep current on insurance filing regulations and requirements.
  • Call and follow-up on unpaid or incorrectly paid insurance claims.
  • Invoice and collect non-patient accounts receivable.
  • File claims electronically with insurance companies.
  • Assist in preparing month/year end accounts receivable reports.
  • Admit patients electronically collecting demographic and insurance data and obtain required signatures.
  • Assist patients with admissions paperwork and providing necessary explanation of acknowledgements signed by the patient.
  • Pre-register patients for various services as required.
  • Answer and transfer incoming phone calls.
  • Train other staff as needed.
  • Participate in QI studies as assigned.      
  • Attend seminars and workshops as directed.
  • Maintain patient confidentiality.

The Parkinson's Empowerment Group at Butler County Health targets so many aspects and symptoms of Parkinson’s. It improves a person’s posture, mobility, balance, and coordination, as well as cognition and ability to multi-task. I also like the flexibility of the program and being able to adjust exercises from each position to fit the need of each individual patient.  

Andy Valenti, Physical Therapist Assistant

My strategy in nutrition coaching is to focus on the positive – what things could we add to increase the variety of healthy foods in your routine?  By focusing on adding more healthy choices, you will not feel deprived as you gradually leave out less nutritious choices.  My goal is to help you get a personalized approach to wellness that you can achieve and maintain with your current lifestyle.

Sandra Burwell, Registered Dietitian

Butler County Health has felt like home to me from the beginning of my employment.  I have spent more than 5 years working in an environment that has challenged me to pursue my nursing skills in many different areas such as the Emergency Department, Obstetrics, Inpatient Care, Outpatient Care and as Quality Improvement and Patient Safety Coordinator.

Tara Palensky, RN

BCH Roots to Shoots Pediatric Therapy Clinic eliminates the need for long commutes to distant facilities like Madonna, allowing Aria to maximize her therapy sessions and educational opportunities.  It is significant for Aria’s overall well-being as it reduces the stress and agitation she had from extended travel.  The staff is like our family to us.

Jennifer Prothman

The communication between us and Leia’s Roots to Shoots therapists is excellent.  We are given the tools and resources to practice techniques at home for ongoing progress and development so she can continue to thrive.  The entire staff at Roots to Shoots goes above and beyond what needs to be done; from teaching her to wear something as simple as a mask, to helping her feel comfortable riding in another vehicle like a school bus.  They are our angels.

Stacey Bykerk

I feel having a 3D mammogram was a blessing for me since it detected my Stage 1 cancer.  The technicians were very helpful as they explained how the machine worked compared to the 2D method.  A big difference is that the 3D machines moves above your head from one size to another and gives a more complete image of the breast.  The testing time also seemed shorter than the standard mammogram.

Judy Dubs

I had a bunion on my foot and I wanted it removed,  but I really didn't want to travel too far to have the procedure done.  So when Butler County Health started providing Podiatry Services, I made an appointment right away.  Dr. Carlston is professional and personable.  He took the time to explain what happens during the procedure and afterwards.

Jill Pokorny

Being able to have my blood drawn at Butler County Health saves me a weekly trip to Omaha.  It is simple to schedule an appointment that works with my schedule and the staff is quick and efficient at drawing my blood samples.

Tanner Zeilinger