Account Rep/Bookkeeper

Requisition ID
Employment Type
Full Time
Accounts Payable
Hours / Pay Period
Standard Hours
M-F (8:00 - 5:00)
Facility / Process Level : Name
CHI St. Alexius Bismarck



Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.


CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services.  CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.


CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.


Under the guidance of the Supervisor of Fiscal Services, the Account representative(s) organizes and performs the submission of claims to appropriate insurance payers.  All other duties as assigned.


  • Maintains A/R trial balance greater than 120 days at the HME Industry average of 10% of A/R for individual area.
  • Maintains DSO per payer type at least average for individual area throughout fiscal year.
  • Maintains write off balance in individual area between a 0.5% and 1.0% per year of total revenue.

Ensure maximum payment is received from insurance payers for services provided.


Education: A minimum of two-year associated degree from a recognized college or university or 4 years’ experience.

Licensure: None Required

Experience: Preferably three years’ experience in bookkeeping and office procedures. Preferably experience with medical billing, specifically with home medical equipment and knowledge concerning Medicare part B reimbursement structures. Computer skills required.

Skills: Typing of 40 wpm, professional courteous telephone techniques and organizational skills.

Interpersonal Skills: Relates well with staff, customers and health care professionals. Tact necessary in dealing with difficult customers. Well-developed oral and written communication skills. Computer knowledge required.

Physical Effort: Sedentary

Hours of Work: Weekdays, Day shift

Exemption Status: Non-Exempt/Exempt


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