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Sr. Patient Finacial Rep

Peyton Resource Group

San Antonio, TX

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JOB DETAILS
SKILLS
Accounting Software, Analysis Skills, Billing, Billing Records, Business Operations, Centers for Medicare and Medicaid Services (CMS), Claims Management, Claims Processing, Communication Skills, Credit and Collections, Current Procedural Terminology (CPT), Denials Management, Documentation, Financial Services, Government Regulations, Healthcare, Healthcare Common Procedure Coding System (HCPCS), Hospital, ICD-10, Insurance, Insurance Claims, Maintain Compliance, Medical Billing, Multitasking, Operational Support, Payment Posting, Presentation/Verbal Skills, Problem Solving Skills, Reconciliation, Regulations, Reimbursement, Revenue Management, Team Player, Time Management, Trend Analysis, Unapplied Cash, Writing Skills
LOCATION
San Antonio, TX
POSTED
20 days ago

Patient Financial Representative Senior

Location: San Antonio, TX
Work Schedule: Monday –Friday | 8: 00 AM –5: 00 PM
Work Type: Full-Time | Onsite

Position Summary

We are seeking an experienced Patient Financial Representative Senior to support Revenue Cycle operations within a fast-paced healthcare environment. This role is responsible for account resolution, claims follow-up, collections, billing review, cash reconciliation, and reimbursement activities for patient accounts.

The ideal candidate will have a strong background in hospital billing, insurance claims, collections, denials management, and healthcare revenue cycle operations. This individual will work closely with internal departments, payors, and patients to ensure timely and accurate account resolution while maintaining compliance with healthcare and payer regulations.

Key Responsibilities

Revenue Cycle & Account Resolution
  • Perform Revenue Cycle functions while meeting quality, productivity, and reimbursement goals
  • Resolve outstanding patient account balances through billing review, collections, and account follow-up
  • Respond to account inquiries through written, verbal, and electronic communication
  • Maintain accurate documentation within patient accounting and billing systems
  • Ensure compliance with healthcare, payer, and government regulations

Billing & Claims Management
  • Review claims and resolve claim edits for resubmission
  • Work rejected and denied claims to achieve timely reimbursement
  • Demonstrate strong knowledge of:
    • UB-04 billing forms
    • HCFA 1500 billing forms
    • CPT, HCPCS, and ICD-10 coding guidelines
  • Process billing requests and work reporting queues efficiently
  • Monitor filing deadlines and payor-specific billing requirements
  • Identify trends impacting reimbursement, payment delays, and account resolution

Collections & Denials Resolution
  • Collect balances due from insurance payors and ensure proper reimbursement
  • Research and resolve underpayments and credit balances within payer timely filing guidelines
  • Escalate denial issues and collaborate with designated teams for resolution
  • Maintain active knowledge of collection requirements for multiple payors
  • Work collection queues daily using billing and collection systems

Cash Reconciliation
  • Reconcile payments between patient accounting systems and bank statements
  • Research and resolve unapplied cash and payment discrepancies
  • Post cash corrections and support resolution of patient and departmental inquiries
  • Ensure all receipts are posted accurately and reconciled to daily and monthly deposits
  • Investigate and resolve payment posting errors in a timely manner

Qualifications

Required Education
  • High School Diploma or equivalent required
  • Additional post-secondary education preferred

Preferred Experience
  • 3–5 years of experience in:
    • Healthcare revenue cycle
    • Medical billing and collections
    • Insurance claims processing
    • Hospital business office operations
  • Experience in a multi-facility hospital environment preferred
  • Experience with inpatient and outpatient billing requirements strongly preferred

Technical & Professional Skills
  • Strong understanding of:
    • Healthcare billing regulations
    • Insurance follow-up and collections
    • Denials management
    • Revenue Cycle processes
  • Knowledge of CPT, HCPCS, and ICD-10 coding guidelines
  • Strong written and verbal communication skills
  • Ability to manage multiple priorities in a fast-paced environment
  • Strong analytical and problem-solving abilities

Additional Information
  • Full-time onsite opportunity in San Antonio, TX
  • Healthcare Revenue Cycle / Patient Financial Services environment
  • Collaborative team setting with growth potential within healthcare operations

 

About the Company

P

Peyton Resource Group

Established in 2001, Peyton Resource Group is a solution-based staffing company that matches businesses with top talent for short-term, long-term or permanent needs. People are a business’s most valuable asset. Peyton Resource Group is dedicated to helping companies find the best talent, matching professionals with jobs where they will thrive. With locations in Dallas/Fort Worth, San Antonio and Austin, we are available to serve your staffing needs throughout Texas and across the country.
COMPANY SIZE
100 to 499 employees
INDUSTRY
Staffing/Employment Agencies
WEBSITE
https://www.prg-usa.com/

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