PATIENT FINANCIAL REPRESENTATIVE SENIOR

LOCATION: San Antonio, TX 78229 | Onsite

COMPENSATION & SCHEDULE

• Pay Rate: $20.32–$21.77 per hour

• Schedule: Monday–Friday, 8:00 AM–5:00 PM

• Employment Type: Full-Time, Temporary-to-Permanent (Temp-to-Perm)

• Start Date: ASAP

ROLE IMPACT

The Senior Patient Financial Representative supports healthcare revenue cycle operations by managing patient accounts, resolving outstanding insurance balances, and ensuring accurate billing, collections, and cash reconciliation. This position plays a key role in maximizing reimbursement, resolving claim discrepancies, and maintaining compliance with healthcare billing regulations. Success requires strong analytical skills, attention to detail, and the ability to meet productivity and quality standards while delivering excellent customer service.

KEY RESPONSIBILITIES

• Manage patient accounts receivable (A/R), including insurance billing, collections, claim follow-up, and resolution of outstanding patient and payer balances.

• Review claim edits, correct rejected claims, process resubmissions, and resolve insurance denials, underpayments, overpayments, and credit balances within payer guidelines.

• Perform cash posting and reconciliation activities, research unapplied payments, correct posting discrepancies, and reconcile daily deposits and bank statements.

• Respond to patient and insurance payer inquiries, research account discrepancies, and maintain accurate documentation in patient accounting and revenue cycle management systems.

• Monitor billing and collection trends, communicate reimbursement delays and account resolution issues to leadership, and maintain compliance with payer, state, and federal regulations.

MINIMUM QUALIFICATIONS

• High School Diploma or equivalent required.

• 3–5 years of experience in healthcare billing, insurance collections, hospital accounts receivable, or revenue cycle operations.

• Experience in healthcare revenue cycle operations, hospital billing, insurance collections, patient accounts receivable (A/R), or patient financial services, including insurance claim follow-up and account resolution.

• Working knowledge of medical billing procedures, insurance payer requirements, CPT, HCPCS, and ICD-10 coding guidelines, with the ability to manage claim corrections, reimbursement discrepancies, and account reconciliation.

CORE TOOLS & SYSTEMS

• Healthcare Revenue Cycle Management (RCM) and Patient Accounting Systems

• UB-04 and CMS-1500 (HCFA-1500) Medical Billing Forms

• CPT, HCPCS, and ICD-10 Coding Systems

• Electronic Claims Submission and Editing Systems

• Insurance Accounts Receivable (A/R) and Collection Management Systems

• Cash Posting, Payment Reconciliation, and Bank Reconciliation Systems

• Microsoft Office Applications

PREFERRED SKILLS

• Experience in a multi-facility hospital business office, including inpatient and outpatient billing, insurance claim processing, and reimbursement follow-up.

• Post-secondary education, healthcare billing trade school training, or previous insurance company claims experience.

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