Patient Accounts Representative

Job Summary

The Patient Accounts Representative is responsible for managing patient billing accounts from admission through final resolution. This role ensures accurate billing, timely follow-up with insurance companies and patients, and excellent customer service while maintaining compliance with hospital policies, payer guidelines, and regulatory requirement 

Qualifications

Education:

• High School Diploma or GED required

• Associate degree or coursework in healthcare administration, business, or a related field preferred

Experience:

• Minimum of 1–2 years of experience in hospital billing, patient accounts, or revenue cycle preferred

• Experience with commercial insurance, Medicare, and Medicaid strongly preferred

Knowledge, Skills, and Abilities

• Knowledge of hospital billing processes and revenue cycle operations

• Familiarity with insurance guidelines, claim forms, and denial management

• Strong analytical and problem-solving skills

• Excellent communication and customer service skills

• High attention to detail and accuracy

• Ability to prioritize tasks and manage multiple accounts efficiently

• Proficiency with hospital billing systems and Microsoft Office applications

• Ability to work independently and as part of a team

• Knowledge of HIPPA and EMTALA guidelines

• Bilingual (English/Spanish) preferred, if applicable

Physical Requirements

• Ability to sit for extended periods

• Ability to use a computer, telephone, and standard office equipment

• Occasional standing or walking as needed

Work Schedule: 

Monday - Friday 8:30 AM - 5:00 PM