<p>This fully remote Patient Account Representative role is based out of Frisco, TX and sits within a national healthcare revenue cycle operation serving more than 135 local regions across the country. The position owns the full life of a patient account — from claim submission through insurance collections and dispute resolution — across Commercial, Managed Care, Medicare, and Medicaid lines. It is a strong fit for a detail-oriented revenue cycle professional who thrives in a high-volume, team-based environment and wants the flexibility of remote work with the stability of a large, established healthcare organization.</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>Holiday pay at time-and-a-half for all observed company holidays (10 paid holidays per year)</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>401(k) with up to 6% employer match</li> <li>Medical, dental, vision, disability, and life insurance</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 position operating within a large-scale revenue cycle services environment</li> <li>Responsible for end-to-end account resolution: claim submission, remittance review, insurance follow-up, dispute creation and pursuit, and secondary/corrected billing</li> <li>Works accounts across Commercial, Managed Care, Medicare, and Medicaid payer types, including HMO, PPO, IPA, and Capitation structures</li> <li>Utilizes proprietary patient accounting systems including ACE, VI Web, IMaCS, and OnDemand, as well as payer web portals</li> <li>Reviews Explanation of Benefits (EOB), UB-04 hospital billing forms, and HCFA 1500 forms to identify billing and coding discrepancies and initiate corrective action</li> <li>Monitors A/R aging trends, identifies payer behavior patterns, and escalates problem accounts to supervisors in a timely manner</li> <li>Maintains daily productivity and quality standards set by department leadership while managing a personal desk inventory without backlog</li> <li>Collaborates cross-functionally with management, team members, patients, physicians, attorneys, and insurance plans as needed</li> <li>Participates in ongoing training seminars and in-service education to maintain current knowledge of payer requirements and regulatory changes</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 full revenue cycle: patient access (authorization, admissions) through Patient Financial Services (billing, appeals, collections)</li> <li>Intermediate knowledge of Managed Care contracts, contract language, and federal and state requirements for government payers</li> <li>Intermediate proficiency with Microsoft Office (Word and Excel); minimum typing speed of 45 wpm</li> <li>Intermediate understanding of EOB, UB-04 billing form requirements, and familiarity with HCFA 1500 forms</li> <li>Ability to learn and navigate hospital systems — ACE, VI Web, IMaCS, OnDemand — quickly and fluently</li> <li>Strong analytical, critical thinking, and problem-solving skills with the ability to prioritize and follow through independently</li> <li>Vaccination requirements apply as permitted by law, including COVID-19 and influenza, prior to start of employment</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 across the country are well-positioned to apply while benefiting from a Texas-headquartered organization with national reach.</p>