Patient Account Representative II

Stanford Health Care

. Process insurance-balance patient claims accurately and promptly according to contracts and policies .

Posted 10/6/2026full-timeRemote • California • United StatesJuniorMid-Level💰 $34 - $39 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in processing insurance claims, resolving patient accounts, and maintaining professional communication with payers and patients. Proficient in medical billing operations and familiar with reimbursement policies and procedures.

Highest-signal resume keywords

Medical Billing OperationsInsurance Claims ProcessingAccounts Receivable Software SystemsPayer Landscape KnowledgeProfessional Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Claims ProcessingMedical BillingAccounts Receivable ManagementBasic MathematicsCharge CorrectionsClaim Edits ResolutionPayer Rejections ManagementElectronic Claims SubmissionPayment PostingTrend Recognition

Soft Skills

Professional CommunicationPrioritizationDeadline ManagementConfidentiality MaintenanceInterpersonal Skills

Tools & Technologies

Epic

Certifications & Qualifications

High School DiplomaGED Equivalent

Industry Keywords

Medical TerminologyPayer PoliciesMedicareMedicaidWorkers’ CompensationManaged CareCommercial Insurance

About the role

Key responsibilities & impact

Process insurance-balance patient claims accurately and promptly according to contracts and policies
Resolve unpaid, underpaid, denied, or unresolved patient accounts
Respond to payer requests by providing medical records or documentation through mail or payer portals
Follow up on unresolved patient accounts in Epic by phone or payer portal
Resolve claim edits
Review payer variances and pursue underpayments
Review and resolve payer rejections and denials and perform basic appeals
Edit and submit electronic or hardcopy claims to payers
Recognize potential trends and escalate them appropriately
Post payments and related adjustments in Epic
Resolve credit balances
Complete basic charge corrections

Requirements

What you’ll need

High school diploma or GED equivalent
Two (2) years of progressively responsible and directly related work experience
Meet weekly individual productivity goals and standards while following planned priorities
Maintain professional communication with PFS staff, payers, and patients
Follow oral and written instructions and accurately interpret policies
Communicate clearly and professionally verbally and in writing
Maintain confidentiality of sensitive information
Perform basic mathematics
Plan, prioritize, and meet deadlines
Work effectively with individuals at all levels of the organization
Knowledge of accounts receivable software systems and medical billing operations
Familiarity with medical reimbursement policies, procedures, and medical terminology
Knowledge of payer landscape, including Medicare, Medicaid, Workers’ Compensation, Managed Care, and commercial insurance