CrawlJobs Logo

Patient Account Rep

https://www.roberthalf.com Logo

Robert Half

Location Icon

Location:
United States , La Palma

Category Icon

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided

Job Description:

A Medical Organization Company is seeking an experienced and motivated Patient Account Rep to join its Revenue Cycle team. The Patient Account Rep must have a strong background in medical billing and insurance collections who thrive in a fast-paced healthcare environment. The Patient Account Rep must be bilingual in English and Spanish.

Job Responsibility:

  • Manage accounts receivable and pursue outstanding medical insurance claims from payers
  • Communicate effectively with insurance companies, patients, and internal teams to resolve outstanding balances
  • Conduct thorough follow-up on unpaid or underpaid claims, ensuring timely reimbursements
  • Interpret EOBs (Explanation of Benefits) and remittance advice
  • Accurately document collection efforts and outcomes in the billing system
  • Negotiate payment arrangements and address denials or appeals
  • Ensure compliance with state, federal, and company guidelines regarding patient confidentiality and collections practices

Requirements:

  • Minimum three (3) years of experience in medical insurance collections or medical billing
  • Bilingual fluency in both Spanish and English (verbal and written)
  • Proficient knowledge of healthcare billing systems, claims follow-up, and denial management
  • Strong organizational and time management skills
  • Excellent communication and negotiation abilities
  • High attention to detail and compliance standards
What we offer:
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
  • free online training

Additional Information:

Job Posted:
April 23, 2026

Work Type:
On-site work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Patient Account Rep

Registration rep ii mobile mam

Provides Mobile Mammography Services throughout multiple counties in Western NY....
Location
Location
United States of America , Rochester
Salary
Salary:
18.50 - 24.98 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree and 2 years of relevant experience in a healthcare or customer service setting required
  • Or equivalent combination of education and experience
  • Basic computer skills required
  • Excellent customer service and communication skills required
  • Friendly positive disposition required
  • CDL - Group A - Commercial Drivers License upon hire required
  • CDL - Group B - Commercial Drivers License upon hire required
  • CDL - Group C - Commercial Drivers License upon hire required
Job Responsibility
Job Responsibility
  • Drives the mobile mammography coach in a safe, responsible manner
  • Ensures the mobile mammography coach is adequately fueled and mechanically sound, completing pre- and post-inspections before and after each use
  • Obtains routine maintenance of the mobile mammography coach as required for fuel, oil change, cleaning, and tire pressure
  • Cleans inside of mobile mammography coach daily and stocks required supplies as needed
  • Flexibility and transportation to other locations and hours of operation may be required
  • Confirms or collects patient demographics and financial information to ensure a billable account
  • Stores patients in billing and scheduling systems
  • Identifies dual patient identification processes using University and departmental policies
  • Verifies insurance eligibility/coverage and obtains necessary pre-certifications/authorizations when applicable
  • Identifies and corrects registration errors, complete missing registration data
  • Parttime
Read More
Arrow Right

Patient Access Liaison

Join Amgen’s Mission of Serving Patients. At Amgen, if you feel like you’re part...
Location
Location
United States , Houston
Salary
Salary:
178336.00 - 201298.00 USD / Year
amgen.com Logo
Amgen
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Doctorate degree AND 2 years of Sales/ Account Management OR direct patient care experience
  • Master's degree AND 4 years of Sales/ Account Management OR direct patient care experience
  • Bachelor's degree AND 6 years of Sales/Account Management OR direct patient care experience
  • Scientific background and ability to learn product and disease information
  • Nursing or other clinical background a plus
  • Access and reimbursement for buy and bill products
  • Orphan or Rare disease experience
  • Familiarity with HIPAA guidelines and FDA requirements
  • Familiarity with and Adherence to internal and OIG Compliance guidelines a must
  • Ability to handle difficult patient cases and resolve hurdles
Job Responsibility
Job Responsibility
  • Secure written or electronic patient HIPAA for patients in the assigned geography
  • Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections
  • Assess individual needs of the patient and develop an appropriate education and resource plan of action, considering the patient’s family and team of healthcare providers to empower the patient to become their own advocate
  • Educate the patient on Krystexxa coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access
  • Provide information on co-pay assistance programs, national foundations, and free drug programs by sharing information to patients as appropriate and needed
  • Provide proactive education to prescribers and sites of care upon patient enrollment on coverage for Amgen rare disease therapies, common prior authorization requirements, and coding and billings requirements
  • Provide access and reimbursement education based on the enrolled patient’s Krystexxa benefits to physician offices and sites of care
  • Educate the physician office and/or SOC on Krystexxa coverage based on the patient’s benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access
  • Investigate access challenges pre and post-infusion to include support for denied claims and claim reviews
  • Partner with Safety and PV and report AE’s and product complaints through medical information
What we offer
What we offer
  • A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
  • A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
  • Stock-based long-term incentives
  • Award-winning time-off plans
  • Flexible work models where possible
  • Fulltime
Read More
Arrow Right

Patient Access Liaison

Join Amgen’s Mission of Serving Patients. At Amgen, if you feel like you’re part...
Location
Location
United States , Kansas City; St. Louis
Salary
Salary:
178336.00 - 201298.00 USD / Year
amgen.com Logo
Amgen
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Doctorate degree AND 2 years of Sales/ Account Management OR direct patient care experience
  • Master's degree AND 4 years of Sales/ Account Management OR direct patient care experience
  • Bachelor's degree AND 6 years of Sales/Account Management OR direct patient care experience
  • Scientific background and ability to learn product and disease information
  • Nursing or other clinical background a plus
  • Access and reimbursement for buy and bill products
  • Orphan or Rare disease experience
  • Familiarity with HIPAA guidelines and FDA requirements
  • Familiarity with and Adherence to internal and OIG Compliance guidelines a must
  • Ability to handle difficult patient cases and resolve hurdles
Job Responsibility
Job Responsibility
  • Secure written or electronic patient HIPAA for patients in the assigned geography
  • Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections
  • Assess individual needs of the patient and develop an appropriate education and resource plan of action, considering the patient’s family and team of healthcare providers to empower the patient to become their own advocate
  • Educate the patient on Krystexxa coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access
  • Provide information on co-pay assistance programs, national foundations, and free drug programs by sharing information to patients as appropriate and needed
  • Provide proactive education to prescribers and sites of care upon patient enrollment on coverage for Amgen rare disease therapies, common prior authorization requirements, and coding and billings requirements
  • Provide access and reimbursement education based on the enrolled patient’s Krystexxa benefits to physician offices and sites of care
  • Educate the physician office and/or SOC on Krystexxa coverage based on the patient’s benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access
  • Investigate access challenges pre and post-infusion to include support for denied claims and claim reviews
  • Partner with Safety and PV and report AE’s and product complaints through medical information
What we offer
What we offer
  • A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
  • A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
  • Stock-based long-term incentives
  • Award-winning time-off plans
  • Flexible work models where possible
  • Fulltime
Read More
Arrow Right

Patient Access Rep

Franciscan Medical Group, as part of Virginia Mason Franciscan Health, is curren...
Location
Location
United States , Tacoma
Salary
Salary:
23.90 - 32.07 USD / Hour
americannursingcare.com Logo
American Nursing Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • One year of customer service work experience
Job Responsibility
Job Responsibility
  • Ensuring patient is checked in/out for care
  • Collecting and entering demographic and financial data in the patient's electronic medical record
  • Gathering/validating insurance information using routine methods and obtaining authorization for services
  • Scheduling patient appointments
  • Collecting co-pays, co-insurance and prior balances
  • Performs patient check-in at the time of visit
  • records and verifies all demographic, insurance and other information
  • Conducts routine insurance eligibility verifications
  • Copies/scans patient access related hardcopy materials into correct location in electronic medical record
  • Records non-clinical charges from various sources
What we offer
What we offer
  • Medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings
  • Fulltime
Read More
Arrow Right

Patient Registration Rep Lead

Patient Registration Representative Lead is responsible for supporting the super...
Location
Location
United States , Kansas City
Salary
Salary:
Not provided
kansashealthsystem.com Logo
The University of Kansas Health System
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Graduate or GED
  • 3 or more years of experience admitting/patient registration, pre-registration & pre-certification, or patient accounting experience
  • 1 or more years of experience of customer service
Job Responsibility
Job Responsibility
  • Performs responsibilities of the Patient Registration Representative
  • Works as a go-between with the clinical teams and staff to resolve workflow or throughput issues of the department
  • Resolves escalated patient and or clinical issues that arise within the department
  • Monitors Missing Req. Items Work Queue’s and assigns accounts to team members as needed in collaboration with their supervision
  • Manages collection of co-payments and deposits made to the department
  • Verifies staff balance drawers daily
  • Serves as a resource and provides training to staff in collaboration with supervisor
  • Serves as an Epic “super user” for area of responsibility
  • Evaluates existing workflows and collaborates with supervisor on implementing improvements and standardization of workflows
  • Conducts staff training or education specific to their department workflows including new hire orientation and facilitating lunch and learns as needed to assist the supervisor
  • Fulltime
Read More
Arrow Right

Self-pay collection rep ii

As a community, the University of Rochester is defined by a deep commitment to M...
Location
Location
United States of America , Rochester
Salary
Salary:
18.71 - 25.27 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree and 2 years of relevant experience required
  • Or equivalent combination of education and experience
Job Responsibility
Job Responsibility
  • Maintains account records, such as payments, rebates, and reversals, and may set up alternative pay plans
  • May also be responsible for reviewing and resolving third party payer issues
  • Reviews reports of unbilled cash claims, self-pay plans not final billed, hold bill worklists, statement edits, credit balances, self-pay greater than $10,000, faith-based reports, and budget plans
  • Works reports and work lists as needed to decrease the amount of unbilled self-pay visits and ensure timely billing to patients
  • Ensures all hold bills are resolved within 30 days of hold
  • Reviews and resolves credit balances related to self-pay accounts to decrease the amount of credit balances currently in the self-pay receivables
  • Reviews patient accounts for outstanding credit transfers
  • Creates appropriate refund spreadsheets to have refunds transferred, transfers payments between visits, and transfers balances between plans to resolve off-setting balances
  • Receives incoming patient inquiries and completes necessary follow up activities based on the inquiry received from internal and external customers
  • Completes follow up, including initiating insurance billing, explaining the balances shown on a patient statement and the processes for further review, advising callers about payments options, and working with other areas to determine accuracy of balances shown
  • Fulltime
Read More
Arrow Right

Outpatient Access Rep II

Performs functions associated with patient information processing for ambulatory...
Location
Location
United States of America , Rochester
Salary
Salary:
18.50 - 24.98 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School diploma and 1 year related experience in an administrative office or customer service field required
  • Completion of Vision Care 1,2,3 courses required
  • Or equivalent combination of education and experience
Job Responsibility
Job Responsibility
  • Performs functions associated with patient information processing for ambulatory care visits
  • Completes the tasks of reception, registration, charge reconciliation process, appointment scheduling, eRecord task management, In Basket management and Telephone encounter management using the electronic medical record and patient access and revenue cycle systems
  • Ensures patient satisfaction with information processing and reception service
  • Requires accuracy in order to generate a billable service for the provider
  • Responsible for functions being completed in an accurate, efficient, and customer friendly manner
  • May act as a resource to new staff
  • Greets patients to initiate positive ambulatory experience, requests patient identification, ensures use of two identifiers to verify the correct patient, identifies healthcare provider to be seen, identifies referring provider and primary care physician, directs patients to next destination, obtains signatures as needed, identifies and assesses patients’ special needs, and monitors reception area to ensure patient needs are met
  • Provides interaction of warm hand-off to registration and insurance management (RIM)
  • Updates patients regarding waiting time for the provider every 15 minutes
  • Protects Personal Health Information (PHI) for patients as indicated by HIPAA regulations
  • Fulltime
Read More
Arrow Right

Hospital Admissions Rep IV-1

Coordinates or manages inpatient and outpatient admissions, including bed assign...
Location
Location
United States of America , Rochester
Salary
Salary:
19.62 - 26.49 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School diploma or equivalent and 4 years of relevant experience required
  • Associate's degree preferred
  • Basic understanding of Central Registration, Health Information Management, Financial Counseling, and Pathology required
  • Knowledgeable and proficient in the use of the Hospital software i.e. EPIC. required
Job Responsibility
Job Responsibility
  • Coordinates or manages inpatient and outpatient admissions, including bed assignments and the completion of preliminary paperwork for patients entering the hospital
  • Verifies insurance benefits assigned to the hospital to determine if coverage meets the standards of hospital admission
  • Coordinates admissions with medical, nursing and accounting staff to ensure appropriate placement of patients and compliance with third-party payers and applicable regulations
  • Provides guidance to others and focuses on more complex assignments
  • Interprets eligibility for admission/service/treatment plans
  • Documents in a timely, accurate manner in the hospital computer system
  • Maintains and monitors patients in the system for accurate charges throughout all inpatient stays
  • Provides information to Financial Counseling in a timely manner for all urgent admissions
  • Marks patients for merge and notifies Health Information Management
  • Exercises tact, initiative and independent judgment based on financial and other pertinent information available, assigns accommodations and assists with coordination of patient transfers and discharges
  • Fulltime
Read More
Arrow Right