Patient Account Representative

Job Description

Job Description

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.

Key Responsibilities

• 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

We are looking for a Patient Account Representative to support billing operations for a healthcare organization in Holyoke, Massachusetts. This Long-term Contract position is ideal for someone who can manage patient account inquiries, work closely with insurance-related processes, and maintain accuracy across billing activities. The role focuses on resolving account concerns, supporting timely reimbursement, and communicating clearly with both internal teams and patient families.

Responsibilities:

• Investigate patient account discrepancies and take appropriate steps to bring issues to resolution.

• 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.

• 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.