Patient Account Representative

Our client in Holyoke, Massachusetts is seeking a Patient Account Representative for a contract opportunity. This role is ideal for a detail-oriented professional with experience in healthcare revenue cycle operations, patient billing, insurance follow-up, and account resolution.

The Patient Account Representative will play a key role in supporting patient financial services by ensuring timely and accurate processing of patient accounts, resolving billing discrepancies, and delivering excellent service to patients and payers.

Key ResponsibilitiesReview, research, and resolve patient account balancesProcess patient billing and follow up on outstanding claims and paymentsWork with insurance companies to verify claim status, resolve denials, and secure reimbursementCommunicate with patients regarding account balances, billing questions, and payment arrangementsMaintain accurate documentation of account activity in the billing systemInvestigate and resolve discrepancies related to insurance, payments, adjustments, and patient demographicsEnsure compliance with healthcare billing regulations, payer guidelines, and company proceduresCollaborate with internal departments to support efficient revenue cycle operationsWe are looking for a Patient Account Representative to support billing operations for a healthcare organization in Holyoke, Massachusetts. This Long-term Contract position is ideal for someone who can manage patient account inquiries, work closely with insurance-related processes, and maintain accuracy across billing activities. The role focuses on resolving account concerns, supporting timely reimbursement, and communicating clearly with both internal teams and patient families.

Responsibilities:

• Investigate patient account discrepancies and take appropriate steps to bring issues to resolution.
• Submit authorization requests to insurance carriers and monitor outstanding approvals or updates as needed.
• Review billing and coverage information, obtain missing details, and make corrections to ensure records are complete and accurate.
• Handle electronic claim processing with close attention to timeliness and data accuracy.
• Conduct accounts receivable follow-up activities to help reduce aging balances and support collections.
• Communicate with staff members and patient families to address questions and provide clear updates on billing-related matters.
• Maintain accurate documentation of account actions, insurance activity, and follow-up efforts within billing systems.