Patient Financial Representative - Collections & Accounts Receivable

About the Role

The Patient Financial Representative II is responsible for performing a variety of patient accounting functions with a strong focus on collections, accounts receivable follow-up, claim resolution, and cash posting activities. This role works to ensure 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, and cash applications; documenting patient account activity; responding to customer billing inquiries; posting payments; implementing billing guideline changes; identifying payer-specific trends; and applying federal and state guidelines to collection efforts. The Patient Financial Representative II also interprets and follows up on Explanation of Benefits (EOBs), reviews claims through payer portals, communicates with insurance providers and patients regarding billing and claims, inventories supplies, reports and tracks equipment maintenance, and performs other duties as assigned.

Responsibilities

• Review outstanding accounts and resolve billing issues
• Follow up with insurance carriers and patients regarding claim status and outstanding balances
• Perform billing, collections, customer service, and cash applications
• Document patient account activity
• Respond to customer billing inquiries
• Post payments
• Implement billing guideline changes
• 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
• Communicate with insurance providers and patients regarding billing and claims
• Inventory supplies and report/track equipment maintenance

Requirements

• High School Diploma or GED equivalent
• Two (2) years of Patient Accounts experience or Two (2) years of experience in a related field

Preferred Qualifications

• Accounts Receivable and Collections experience within Patient Accounts, Revenue Cycle, Medical Billing, or Healthcare Collections

Skills

• Customer service skills
• Administrative and clerical skills
• Organizational skills and attention to detail
• Knowledge of regulatory standards appropriate to the position
• Medical terminology knowledge and understanding
• Strong written and verbal communication skills
• Ability to work collaboratively within a team environment
• Computer skills appropriate to the position
• Experience working with payer portals, insurance follow-up, claim resolution, and cash posting

Benefits

• 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

Location: Fully Remote (Florida residents only)
Status: Full-Time
Schedule: Monday through Friday
Shift Hours: 8:00 AM - 4:30 PM