Patient Account Representative Insurance

About the role

This is a remote position requiring a 1.0 FTE commitment on the day shift.

Responsibilities

• Reviews insurance claims prior to submission to identify and resolve errors, ensuring accurate and timely billing in accordance with payer guidelines.
• Monitors claim status and follows up with insurance carriers on delayed or unpaid claims.
• Reviews and resolves denied claims in collaboration with payers and patients.
• Posts insurance payments, adjustments, and remittance activity accurately to patient accounts.
• Investigates and resolves credit balances and billing discrepancies.
• Responds to internal and external inquiries related to billing and insurance.
• Documents all actions and follow-up activities within the billing system.
• Maintains current knowledge of payer guidelines, updates, payer websites and payer portals.
• Supports development and implementation of department procedures and workflows.
• Participates actively in department meetings, focus groups, training opportunities, and process improvement initiatives.
• Maintains data integrity within billing systems by following established workflows and standards.
• Reviews reports and work queues to support A/R goals.
• Performs other duties as assigned.

Qualifications

• College Certificate, Associate's Degree, or equivalent related experience required.
• Experience in medical billing, patient accounts, or healthcare revenue cycle operations preferred.
• Knowledge of insurance payers, billing processes, claim submission, and reimbursement workflows.
• Experience with claim follow‑up, denial management, and appeals preferred.
• Understanding of Provider Based Billing (PBB) preferred.

Skills

• Strong attention to detail and effective problem‑solving skills.
• Proficiency with computers and the ability to learn billing systems, software, and navigate payer websites and portals.
• Effective communication to interact with insurance companies, internal departments, team members, and patients.
• Strong math skills with a basic understanding of the revenue cycle.
• Ability to manage multiple tasks independently and as part of a team in a fast‑paced environment.

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Basic Life Insurance
• Tuition Reimbursement
• Employer Paid Short‑Term Disability and Long‑Term Disability
• Adoption Assistance Plan

Pay

Starting pay ranges from $23.18 to $34.77 per hour, based on experience. Offers for external candidates are generally made between the minimum and midpoint of the range.

Schedule

Day shift (first shift).