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.
Perks and Benefits
- Hourly pay range: $15.80 – $23.70, depending on location, qualifications, and experience
- Signing bonus available for qualified new hires, subject to employment status
- 401(k) retirement plan with up to 6% employer match
- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation and sick leave) — minimum 12 days per year, accruing at approximately 1.84 hours per 40 hours worked
- 10 paid holidays per year; observed company holidays paid at time-and-a-half
- Health savings accounts (HSA), healthcare flexible spending accounts (FSA), and dependent care FSAs
- Employee Assistance Program and employee discount program
- Voluntary benefits: pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare support, AD&D, auto and home insurance
Practice Highlights
- Fully remote role; work-from-home with access to multiple proprietary patient accounting platforms (ACE, VI Web, IMaCS, OnDemand)
- Manages the complete account lifecycle — from claim submission and remittance review through insurance collections, dispute resolution, and final payment
- Works accounts across Commercial, Managed Care, Medicare, and Medicaid payer types, including government and non-government entities
- Responsibilities include updating plan IDs, correcting demographic and insurance data, identifying payer trends, resolving recoupment issues, and requesting corrected or secondary bills as needed
- Reviews Managed Care contracts and identifies billing or coding discrepancies; opens dispute records for accounts requiring further substantiation
- Monitors A/R aging, recognizes payer delay trends, and escalates problem accounts to supervisors in a timely manner
- Maintains daily productivity and quality standards set by department leadership while managing an independent desk inventory without backlog
- Collaborates with management, team members, patients, physicians, insurance plans, and attorneys as needed to resolve accounts
- Participates in ongoing training seminars, in-services, and team meetings to develop job knowledge and stay current on regulatory requirements
- Ensures compliance with applicable State and Federal laws and regulations governing Managed Care and third-party payers
Qualifications
- High school diploma or equivalent required; college coursework in business administration or accounting preferred
- 1–4 years of medical claims and/or hospital collections experience
- Working knowledge of Commercial, Managed Care, Medicare, and Medicaid collections; intermediate understanding of Managed Care contracts, contract language, and government payer requirements
- Familiarity with HMO, PPO, IPA, and Capitation payer structures and claim processing workflows
- Intermediate understanding of Explanation of Benefits (EOB), UB-04 hospital billing form requirements, and familiarity with HCFA 1500 forms
- Intermediate proficiency in Microsoft Office (Word and Excel); minimum typing speed of 45 wpm
- Ability to learn and navigate proprietary systems (ACE, VI Web, IMaCS, OnDemand) quickly and fluently
- Strong analytical, critical thinking, and problem-solving skills; ability to prioritize and follow through on assigned tasks with minimal supervision
- Vaccination requirements apply as permitted by law, including COVID-19 and influenza vaccinations, prior to start of employment
About the Community
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.