Patient Account Senior Representative - Remote

Job Summary

The Accounts Receivable Senior Representative is responsible for all aspects of follow‑up activity, including timely resolution of accounts, claim follow‑up, remittance review, and collection of disputed balances from both government and non‑government entities. The role requires an in‑depth knowledge of the revenue cycle, from patient account creation to expected payment, and proficiency with Commercial, Managed Care, Medicare, and Medicaid collections. The representative will assist in special projects, train staff, and support team members to maintain productivity and quality in a dynamic, frequently changing work environment.

• Research and resolve uncollected account balances by contacting payors and patients via phone, e‑mail, or online.
• Problem‑solve issues and create revenue‑generating solutions, updating patient and payor demographic information as needed.
• Request additional information from patients, medical records, and payors to substantiate claims.
• Review contracts, identify billing or coding issues, and request re‑bills, secondary billing, or corrected bills as required.
• Open dispute records for continued collection and maintain a current desk inventory without backlog while meeting productivity and quality standards.
• Perform special projects, document findings, and communicate results to leaders.
• Escalate payment delays or aged accounts promptly to supervisors and recognize potential delays or trends with payors for corrective actions.

• Thorough understanding of the revenue cycle from patient access through collections.
• Excellent written and verbal communication skills.
• Intermediate technical skills, including PC and MS Outlook.
• Strong interpersonal and analytical skills with sound decision‑making ability.
• Full understanding of Commercial, Managed Care, Medicare, and Medicaid collections and government payor requirements.
• Advanced knowledge of UB‑04, EOB interpretation, CPT, and ICD‑9 coding.

• High school diploma or equivalent.
• 2–5 years of experience in medical/hospital insurance related collections.
• Minimum typing requirement of 45 wpm.

• Office/teamwork environment.
• Ability to sit and work at a computer for extended periods.

• Office environment with teamwork.

• Pay: $17.20–$25.70 per hour, depending on location, qualifications, and experience.
• Eligible for a signing bonus for new qualified hires, subject to employment status.
• Observed holidays receive time and a half.

• Medical, dental, vision, disability, and life insurance.
• Paid time off, minimum 12 days per year.
• 401(k) with up to 6% employer match.
• 10 paid holidays per year.
• Health savings accounts and flexible spending accounts.
• Employee assistance program and discount program.
• Voluntary benefits include pet insurance, legal insurance, and long‑term care.

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