Patient Financial Representative - AR/ Insurance

About the role

As a Patient Financial Representative II, you will perform a variety of patient accounting functions with a strong focus on accounts receivable follow-up, insurance collections, claim resolution, denial management, and cash posting activities. This role ensures timely reimbursement by reviewing outstanding accounts, resolving billing issues, and following up with insurance carriers and patients regarding claim status and outstanding balances.

Additional responsibilities include billing, collections, customer service, payment posting, and cash applications; documenting patient account activity; responding to customer billing inquiries; implementing billing guideline changes; identifying payer-specific trends; and applying federal and state guidelines to collection efforts. You will also interpret and follow up on Explanation of Benefits (EOBs), review claims through payer portals, communicate with insurance providers and patients regarding billing and claims, research and resolve denials, and perform other duties as assigned.

Responsibilities

• Perform accounts receivable follow-up, insurance collections, claim resolution, denial management, and cash posting activities
• Review outstanding accounts and resolve billing issues
• Follow up with insurance carriers and patients regarding claim status and outstanding balances
• Handle billing, collections, customer service, payment posting, and cash applications
• Document patient account activity and respond to customer billing inquiries
• Implement billing guideline changes and identify payer-specific trends
• Apply federal and state guidelines to collection efforts
• Interpret and follow up on Explanation of Benefits (EOBs)
• Review claims through payer portals and communicate with insurance providers and patients
• Research and resolve denials

Requirements

• High School Diploma or GED equivalent
• 1 year of customer service experience
• Interpersonal, communication, and organizational skills
• Computer skills and professional etiquette

Preferred Qualifications

• Experience in Accounts Receivable or Insurance Follow-Up in a Healthcare Setting
• Customer service, administrative, and clerical skills
• Knowledge of regulatory standards, medical terminology, and Medicare, Medicaid, and commercial insurance reimbursement processes
• Experience with payer portals, insurance follow-up, claim resolution, denial management, EOB review, and cash posting
• Strong written and verbal communication skills
• Ability to work collaboratively within a team environment

Benefits

• Competitive total rewards package, including medical, dental, and vision benefits
• Paid Time Off (PTO)
• Tuition Assistance
• 401(k) match and additional annual employer contribution
• Annual performance appraisals and team award bonus opportunities
• Family resources and wellness programs
• Community perks and employee discounts
• Career growth and development opportunities

Schedule

Full-time, Monday–Friday, 8:00 AM – 4:30 PM (no weekend work or on-call requirements).

Location: Remote (Florida residents only) with quarterly onsite team meetings.