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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