Patient Accounts Representative II

Job Title: Patient Accounts Representative II
Location: REMOTE
Duration: 13 weeks contract
Shift: 8 hr Days | Standard MST working hours

Position Overview:
We are seeking a detail-oriented Medical Billing Specialist to manage and resolve outstanding medical claims. This role focuses on claims follow-up, appeals processing, and driving timely reimbursement while minimizing accounts receivable. The ideal candidate brings strong analytical skills, payer knowledge, and hands-on experience with billing systems.

Key Responsibilities:

• Research, analyze, and follow up on outstanding medical claims and patient accounts
• Initiate and manage appeals to ensure maximum reimbursement
• Monitor accounts receivable and identify trends impacting cash flow
• Document all account activity, correspondence, and resolutions accurately in the system
• Coordinate resolution of billing discrepancies and cash posting errors
• Evaluate payer responses and identify underpayments or overpayments
• Stay updated on payer policies, contract terms, and billing regulations
• Collaborate with internal teams to resolve complex billing issues
• Provide feedback on payer trends and reimbursement challenges to management
• Ensure compliance with organizational policies and industry regulations
• Meet defined productivity and quality benchmarks
• Act as a subject matter expert; support training and mentoring of new team members

Required Qualifications:

• 1–3 years of experience in medical billing, claims follow-up, or patient accounts
• Strong understanding of insurance processes, billing practices, and compliance regulations
• Proficiency in medical terminology
• Hands-on experience with Epic
• Advanced skills in Microsoft Excel and Microsoft Word
• Solid computer skills including typing and 10-key data entry
• Strong analytical and problem-solving abilities

Preferred Qualifications:

• 3–5 years of experience in hospital or physician billing
• Prior experience with claims appeals and reimbursement analysis
• Exposure to multiple payer types (commercial, government, third-party)