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Our client in Holyoke, Massachusetts is seeking a Patient Account Representative for a contract opportunity. This role is ideal for a detail-oriented professional with experience in healthcare revenue cycle operations, patient billing, insurance follow-up, and account resolution. The Patient Account Representative will play a key role in supporting patient financial services by ensuring timely and accurate processing of patient accounts, resolving billing discrepancies, and delivering excellent service to patients and payers.
Job Responsibility:
Review, research, and resolve patient account balances
Process patient billing and follow up on outstanding claims and payments
Work with insurance companies to verify claim status, resolve denials, and secure reimbursement
Communicate with patients regarding account balances, billing questions, and payment arrangements
Maintain accurate documentation of account activity in the billing system
Investigate and resolve discrepancies related to insurance, payments, adjustments, and patient demographics
Ensure compliance with healthcare billing regulations, payer guidelines, and company procedures
Collaborate with internal departments to support efficient revenue cycle operations
Submit authorization requests to insurance carriers and monitor outstanding approvals or updates as needed
Review billing and coverage information, obtain missing details, and make corrections to ensure records are complete and accurate
Handle electronic claim processing with close attention to timeliness and data accuracy
Conduct accounts receivable follow-up activities to help reduce aging balances and support collections
Communicate with staff members and patient families to address questions and provide clear updates on billing-related matters
Maintain accurate documentation of account actions, insurance activity, and follow-up efforts within billing systems.
Requirements:
Previous experience as a Patient Account Representative, Medical Biller, or in a similar healthcare revenue cycle role
Knowledge of medical billing, collections, claims follow-up, and insurance verification
Familiarity with EOBs, denials management, and patient account resolution
Strong attention to detail and organizational skills
Excellent communication and customer service abilities
Proficiency with healthcare billing systems and Microsoft Office applications
Ability to manage multiple priorities in a fast-paced environment setting.