Patient Account Representative

Med-Metrix

. Manage collections, account follow-up, and billing allowance posting for assigned accounts .

Posted 9/19/2026full-timeRemote • New Jersey • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing and coding, including knowledge of ICD-9/10, CPT, and HCPC codes, while effectively managing collections and follow-up processes. Proficient in using workflow systems and maintaining compliance with HIPAA regulations.

Highest-signal resume keywords

Medical Billing And Coding CertificationInsurance Collections ExperienceHealthcare Claims Processing KnowledgeProficiency With Microsoft Office SuiteUnderstanding Of Medicare And Medicaid Claims

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-9/10 CodingCPT CodingHCPC CodingUB-04 BillingClaims SubmissionClaims Follow-UpExcel Spreadsheet ManipulationData AnalysisProblem-SolvingBasic Math Skills

Soft Skills

Interpersonal CommunicationWritten CommunicationVerbal CommunicationJudgmentCollaboration

Tools & Technologies

STARSMSEAGLEEPICMicrosoft Office Suite

Certifications & Qualifications

Medical Billing And Coding Certification

Industry Keywords

Healthcare Reimbursement MethodologiesInsurance RegulationsHIPAA CompliancePatient Financial InformationPayer Payment Delays

About the role

Key responsibilities & impact

Manage collections, account follow-up, and billing allowance posting for assigned accounts
Follow up with payers by phone, email, fax, or websites to resolve outstanding claims
Review and accurately update patient and financial information
Verify the individual or insurance company responsible for payment
Monitor billings for accuracy and correct known errors
Monitor Medicaid/Healthy Options coupons and ensure services are billed within expected timeframes
Bill hospital services correctly to primary insurers or patients
Explain hospital payment regulations and maintain knowledge of insurance regulations and hospital contracts
Identify and report underpayments and denial trends
Analyze and resolve issues causing payer payment delays and initiate appeals when necessary
Manipulate Excel spreadsheets and communicate results
Meet daily productivity and quality standards
Perform special projects and other duties assigned by management
Maintain confidentiality and protect, use, and disclose PHI in accordance with HIPAA
Comply with Information Security and HIPAA policies and procedures
Limit PHI access to the minimum necessary for assigned duties

Requirements

What you’ll need

High School Diploma or equivalent required
Medical Billing and Coding certification preferred, but not required
Experience in Hospital/Facility and/or physician billing required
2-3 years’ experience in insurance collections, including submitting and following up on claims
Basic knowledge of healthcare claims processing including ICD-9/10, CPT and HCPC codes, and UB-04
Ability to use workflow and client host systems such as STAR, SMS, EAGLE and EPIC
Working knowledge of the insurance follow-up process and healthcare reimbursement methodologies
Understanding of government, Medicare and Medicaid claims
Proficiency with Microsoft Office Suite, including Excel and Word
Basic math and typing skills
Strong interpersonal, written and verbal communication skills
Strong problem-solving and creative skills; ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results orientation
Gracious and welcoming personality for customer service interaction
Must possess a smart-phone or electronic device capable of downloading applications for multifactor authentication and security purposes
Ability to follow directions, collaborate with others, and handle stress

Benefits

Comp & perks

Remote or virtual job
Multifactor authentication and security device requirement (smart-phone or electronic device capable of downloading applications)