This is a fully remote Patient Account Representative role based out of Frisco, TX, supporting a large national healthcare revenue cycle operation serving clients across more than 135 local regions. The position sits at the intersection of insurance collections, claims resolution, and payer relations — covering the full life of a patient account from creation through final payment across Commercial, Managed Care, Medicare, and Medicaid lines. The most compelling differentiator here is the breadth of payer exposure and the fully remote work arrangement, making it an accessible opportunity for experienced revenue cycle professionals seeking flexibility without sacrificing scope or career growth.
Perks and Benefits
- Hourly pay range: $15.80 – $23.70; final rate dependent 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 and dependent flexible spending accounts (FSA)
- 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 position; standard call-center-style workflow conducted from a home office environment
- Manages the complete revenue cycle lifecycle — from patient access and authorization through billing, insurance appeals, and collections
- Works accounts across Commercial, Managed Care, Medicare, and Medicaid payer types, including government and non-government disputed balances
- Conducts follow-up on claim submissions and remittance reviews; initiates corrected bills, secondary billing, and re-bills as needed based on contract and coding review
- Accesses payer websites directly to discern pertinent data; updates plan IDs, adjusts demographic and insurance information, and documents all account activity in the patient accounting system
- Utilizes proprietary hospital systems including ACE, VI Web, IMaCS, and OnDemand for account research and resolution
- Identifies and escalates payer trends, corrective actions, and aged A/R issues to supervisors to prevent revenue delays
- Works independently to maintain a current desk inventory without backlog while meeting daily productivity and quality standards set by leadership
- Supports team members during absences or backlog periods; participates in meetings, training seminars, and in-service education
- Ensures ongoing compliance with state and federal laws and regulations governing Managed Care and third-party payers
Qualifications
- High school diploma or equivalent required; some college coursework in business administration or accounting preferred
- 1–4 years of medical claims and/or hospital collections experience
- Thorough understanding of the full revenue cycle — from patient access (authorization, admissions) through Patient Financial Services (billing, appeals, collections)
- Intermediate knowledge of Managed Care contracts, contract language, and federal and state requirements for government payers; familiarity with HMO, PPO, IPA, and capitation models
- Intermediate proficiency with EOB interpretation and hospital billing form requirements (UB-04); working familiarity with HCFA 1500 forms
- Intermediate skill in Microsoft Office (Word and Excel); minimum typing speed of 45 wpm
- Ability to learn and navigate hospital 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
About the Community
This role is fully remote, allowing candidates to work from home regardless of geographic location while being administratively anchored to Frisco, TX — a rapidly growing suburb north of Dallas known for its highly rated school districts, master-planned communities, and abundant dining and entertainment options. The broader Dallas–Fort Worth metroplex offers a low state income tax environment, affordable cost of living relative to comparable metros, and easy access to major airports, professional sports, and a diverse cultural scene. Candidates across the country are well-positioned to thrive in this role without relocation.