Patient Account Representative, Level II

Regional One Health

. Accurately and timely process patient accounts related to billing, collections and reimbursements for The Regional Medical Center according to PFS standards, policies and procedures .

Posted 10/16/2026full-timeRemote • Tennessee • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in patient account processing, billing, and collections while ensuring compliance with governmental regulations and payer requirements. Proven ability to maintain productivity standards and provide exceptional customer service in a healthcare setting.

Highest-signal resume keywords

Patient Account ProcessingHospital Billing ExperienceInsurance CollectionRegulatory ComplianceClaims Submission Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

BillingCollectionsReimbursement VerificationClaims ResearchPayment ValidationError CorrectionDenial ResolutionContractual AdjustmentsElectronic BillingProductivity Standards

Soft Skills

Customer ServiceCommunicationTeam CollaborationTraining and MentoringProblem Solving

Industry Keywords

PFS StandardsGovernment RegulationsThird-Party PayersHospital PaymentCommercial InsuranceHealthcare BillingState and Federal Collection Laws

About the role

Key responsibilities & impact

Accurately and timely process patient accounts related to billing, collections and reimbursements for The Regional Medical Center according to PFS standards, policies and procedures
Make the required number and quality of collection calls per day
Secure required financial and demographic information for patient claims
Monitor, follow up on, and research assigned patient accounts
Provide courteous and professional customer service
Review erroneous claims and research commercial guidelines to make corrections and adjustments
Respond to patient and insurance company complaints, correspondence, inquiries and information requests
Coordinate with clinical departments and HIM to determine claim integrity and resolve claims
Update PFS management regarding errors, payer issues, registration issues and reimbursement-related activities
Research governmental requirements and implement regulatory billing changes
Collect balances from third-party payers in compliance with applicable laws
Meet daily productivity standards and clear billing, rebilling, correspondence, EOB, report and appeal files within specified timelines
Review and resolve suspended claims in electronic billing terminals
Work discount reports and make necessary corrections
Submit claims timely and avoid filing deadlines
Identify and forward denial information and resolve denials
Correct BAR tables to ensure accurate contractual adjustments
Verify payment accuracy against claims, charges, terms and procedures
Maintain thorough and ethical collection efforts
Collaborate with the team to distribute workload
Assess associate educational needs and provide training with PFS Managers
Communicate findings, recommendations and financial opportunities to PFS leadership
Participate in daily team briefings and metrics tracking

Requirements

What you’ll need

High School Diploma or equivalent
Minimum 2 years experience
Experience in facility reimbursement, including hospital billing, insurance collection, hospital payment validation, reimbursement verification and/or refunds for government and/or commercial insurances
College education, previous insurance company claims experience and/or health care billing experience may be considered in lieu of hospital experience
Knowledge of governmental mandated regulations pertaining to claims submission
Knowledge of billing and reimbursement requirements by payer
Ability to meet role-specific productivity standards
Ability to work within applicable state and federal collection laws
No travel required

Benefits

Comp & perks

Equal opportunity employer, including veterans and people with disabilities
Fully remote work arrangement