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Patient Account Representative

  • California, Rancho Mirage

  • 08/24/2026

  • Contract

  • Active

Job Description:

  • Job Summary
    The Patient Account Representative is responsible for managing patient billing inquiries, insurance claims follow-up, and account adjustments. This role ensures accurate account records, compliance with billing regulations, and delivery of excellent customer service to patients and insurance carriers.

    Key Responsibilities
    1. Follow up on claims including unpaid insurance, commercial, and self-pay accounts.
    2. Communicate with carriers regarding outstanding claims and reimbursements.
    3. Process claim adjustments and refunds when appropriate.
    4. Handle patient inquiries via phone calls and correspondence.
    5. Maintain account records with accuracy and updates.
    6. Review billing regulations, contracts, and claim requirements.
    7. Provide customer service to resolve billing-related issues.

    Required Qualifications
    1. Experience with computer-based claims management systems.
    2. Strong Windows, keyboarding, database, and internet application skills.
    3. Knowledge of medical terminology.
    4. Healthcare billing/claims experience preferred.
    5. Strong customer service and problem-solving skills.
    6. Ability to manage multiple tasks and prioritize workload.
    7. Knowledge of billing regulations and insurance claim requirements.
    8. Previous experience in a hospital, clinic, payer, or collection agency preferred.

    Preferred Qualifications
    1. Prior experience in healthcare billing or claims management.
    2. Familiarity with insurance reimbursement processes.

    Certifications
    1. None required; relevant billing or healthcare certifications are a plus.

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