<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. Candidates with 1–4 years of hospital billing or medical claims experience and a working knowledge of Commercial, Managed Care, Medicare, and Medicaid will find a structured, team-oriented environment with clear productivity standards and room to grow.</p>
<h3>Perks and Benefits</h3> <ul> <li>Hourly pay range: $15.80 – $23.70, depending 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 flexible spending accounts (FSA), and dependent care FSAs</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 role; work-from-home with access to multiple proprietary patient accounting platforms (ACE, VI Web, IMaCS, OnDemand)</li> <li>Manages the complete account lifecycle — from claim submission and remittance review through insurance collections, dispute resolution, and final payment</li> <li>Works accounts across Commercial, Managed Care, Medicare, and Medicaid payer types, including government and non-government entities</li> <li>Responsibilities include updating plan IDs, correcting demographic and insurance data, identifying payer trends, resolving recoupment issues, and requesting corrected or secondary bills as needed</li> <li>Reviews Managed Care contracts and identifies billing or coding discrepancies; opens dispute records for accounts requiring further substantiation</li> <li>Monitors A/R aging, recognizes payer delay trends, and escalates problem accounts to supervisors in a timely manner</li> <li>Maintains daily productivity and quality standards set by department leadership while managing an independent desk inventory without backlog</li> <li>Collaborates with management, team members, patients, physicians, insurance plans, and attorneys as needed to resolve accounts</li> <li>Participates in ongoing training seminars, in-services, and team meetings to develop job knowledge and stay current on 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>Working knowledge of Commercial, Managed Care, Medicare, and Medicaid collections; intermediate understanding of Managed Care contracts, contract language, and government payer requirements</li> <li>Familiarity with HMO, PPO, IPA, and Capitation payer structures and claim processing workflows</li> <li>Intermediate understanding of Explanation of Benefits (EOB), UB-04 hospital billing form requirements, and familiarity with HCFA 1500 forms</li> <li>Intermediate proficiency in Microsoft Office (Word and Excel); minimum typing speed of 45 wpm</li> <li>Ability to learn and navigate proprietary systems (ACE, VI Web, IMaCS, OnDemand) quickly and fluently</li> <li>Strong analytical, critical thinking, and problem-solving skills; ability to prioritize and follow through on assigned tasks with minimal supervision</li> <li>Vaccination requirements apply as permitted by law, including COVID-19 and influenza vaccinations, prior to start of employment</li> </ul>
<h3>About the Community</h3> <p>This position is fully remote, making it accessible to candidates across the country regardless of proximity to Frisco, Texas. Frisco itself is a rapidly growing suburb in the Dallas–Fort Worth metroplex — consistently ranked among the fastest-growing and most livable cities in the United States — offering excellent schools, a low cost of living relative to comparable metros, abundant dining and entertainment, and easy access to the broader DFW region. For candidates who prefer to remain local, the area provides a high quality of life with a strong job market and a vibrant, family-friendly community.</p>