Location: Spring, TX
Employment Type: Temp-to-Hire
Position Summary
We are seeking a detail-oriented and customer-focused
Patient Accounts Representative to join our team in Spring, TX. This role is responsible for managing the full lifecycle of insurance claims, ensuring accurate billing, timely reimbursement, and effective communication with patients, insurance carriers, and internal departments.
The ideal candidate has experience in medical billing, insurance follow-up, and healthcare accounts receivable, with a strong understanding of Medicare, Medicaid, commercial insurance, and ambulance billing procedures.
Key Responsibilities
- Follow up proactively on outstanding insurance claims with Medicare, Medicaid, and commercial insurance payers to ensure timely resolution and reduce aging accounts.
- Review, analyze, and resolve denied or rejected claims by identifying errors, correcting issues, and submitting appropriate supporting documentation.
- Contact patients to obtain missing information, address billing questions, and explain claim status and financial responsibilities.
- Maintain accurate, detailed, and compliant documentation of claim activity, payer communications, and follow-up actions.
- Collaborate with billing, coding, insurance verification teams, and external vendors to resolve claim discrepancies and reduce denials.
- Monitor payer trends and reimbursement patterns and escalate recurring issues to management.
- Assist with verifying patient eligibility and insurance benefits as needed.
- Identify patient and insurance overpayments, prepare refund requests with supporting documentation, and promptly notify management.
- Handle inbound calls from patients, attorneys, and other stakeholders regarding billing inquiries and account status.
- Monitor accounts receivable, review aging reports, and follow established collection procedures for various payer types.
- Escalate complex accounts to the Patient Accounts Supervisor or Manager when appropriate.
- Perform other duties as assigned.
Qualifications
- High school diploma or GED equivalent.
- Minimum of three years of experience in medical billing, insurance follow-up, or healthcare accounts receivable.
- Knowledge of medical terminology, ICD-10 coding, and insurance claim submission processes.
- Understanding of Medicare, Medicaid, commercial insurance, and ambulance billing policies and procedures.
- Proven experience resolving denied or rejected claims and managing payer accounts receivable.
- Proficiency in Microsoft Office, including Excel and Word, and familiarity with medical billing systems.
- Strong analytical, organizational, communication, and customer service skills.
- Ability to multitask, prioritize responsibilities, and work effectively in a fast-paced environment.
- Must not be excluded from participation in federally funded healthcare programs.
Physical Requirements
- Ability to sit for extended periods.
- Ability to walk, stand, bend, squat, twist, and reach as needed.
- Ability to perform simple grasping and fine manipulation.
- Ability to perform extended keyboarding.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.
Work Environment
- Air-conditioned office environment.
Employment Opportunity
This is a
temp-to-hire opportunity for a qualified professional seeking to contribute to an established healthcare accounts team. Candidates with strong insurance follow-up, denial management, and accounts receivable experience are encouraged to apply.
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