<p>This is a fully remote Patient Account Representative role based out of Frisco, TX, supporting a large national healthcare revenue cycle operation with clients across more than 135 local regions. The position sits at the intersection of insurance collections, claims resolution, and payer relations — covering the full revenue cycle lifecycle from patient access through final payment. It is a strong fit for a detail-oriented revenue cycle professional with working knowledge of Commercial, Managed Care, Medicare, and Medicaid billing environments who thrives in a high-volume, team-based setting.</p>
<h3>Perks and Benefits</h3> <ul> <li>Hourly pay range: $15.80 – $23.70, dependent on location, qualifications, and experience</li> <li>Signing bonus available for qualified new hires, subject to employment status</li> <li>401(k) retirement plan with up to 6% employer match</li> <li>Medical, dental, vision, disability, and life insurance</li> <li>Paid time off (vacation and sick leave) — minimum 12 days per year, accruing at approximately 1.84 hours per 40 hours worked</li> <li>10 paid holidays per year; observed company holidays paid at time-and-a-half</li> <li>Health savings accounts (HSA); healthcare and dependent flexible spending accounts (FSA)</li> <li>Employee Assistance Program and employee discount program</li> <li>Voluntary benefits: pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare support, AD&D, auto and home insurance</li> </ul>
<h3>Practice Highlights</h3> <ul> <li>Fully remote work environment; role is performed independently with close collaboration with management and team</li> <li>Responsible for the complete lifecycle of patient accounts — from claim submission and remittance review through collections, disputes, and final resolution</li> <li>Works accounts across Commercial, Managed Care, Medicare, and Medicaid payer types, including government and non-government entities</li> <li>Conducts follow-up on uncollected balances via phone, email, and online payer portals; updates plan IDs, demographic and insurance data, and account notations</li> <li>Reviews payer contracts to identify billing and coding issues; initiates re-bills, secondary billing, or corrected claims as appropriate</li> <li>Opens and manages dispute records for accounts requiring further research and substantiation for continued collection</li> <li>Identifies and escalates payer trends, payment delays, and aged account issues to supervisors to prevent A/R aging</li> <li>Utilizes proprietary hospital systems including ACE, VI Web, IMaCS, and OnDemand, along with Microsoft Office (Word, Excel)</li> <li>Maintains daily productivity and quality standards as set by department leadership; supports team members during absences or backlogs</li> <li>Participates in ongoing training, meetings, and in-services to develop job knowledge and stay current with regulatory requirements</li> <li>Ensures compliance with applicable State and Federal laws and regulations governing Managed Care and third-party payers</li> </ul>
<h3>Qualifications</h3> <ul> <li>High school diploma or equivalent required; college coursework in business administration or accounting preferred</li> <li>1–4 years of medical claims and/or hospital collections experience</li> <li>Thorough understanding of the revenue cycle process — from patient access (authorization, admissions) through billing, insurance appeals, and collections</li> <li>Working knowledge of Commercial, Managed Care, Medicare, and Medicaid collections; intermediate knowledge of Managed Care contracts, contract language, and government payer requirements</li> <li>Familiarity with HMO, PPO, IPA, and Capitation payer structures and claim processing; intermediate understanding of EOBs, UB-04 billing forms, and HCFA 1500 forms</li> <li>Intermediate proficiency in Microsoft Office (Word, Excel); ability to learn hospital systems (ACE, VI Web, IMaCS, OnDemand) quickly</li> <li>Minimum typing speed of 45 words per minute</li> <li>Strong analytical, critical thinking, and problem-solving skills; ability to prioritize and follow through on assigned tasks with minimal supervision</li> </ul>
<h3>About the Community</h3> <p>Frisco, Texas is one of the fastest-growing cities in the Dallas–Fort Worth metroplex, offering a high quality of life with top-rated schools, abundant dining and entertainment, and easy access to the broader DFW urban core. The area combines suburban comfort with metropolitan amenities — professional sports venues, extensive trail systems, and a thriving local economy — making it an attractive base for professionals at any career stage. Because this role is fully remote, candidates outside the immediate Frisco area are equally well-positioned to thrive in this opportunity.</p>