Jobs

Patient Account Rep (Denials/Collections) REMOTE

Dallas, TX

Posted: 06/09/2025 Employment Type: Permanent Industry: Healthcare Job Number: 15642 Pay Rate: 20.19

Job Description


Patient Account Representative (Direct Hire) - REMOTE | Dallas, TX

Direct Hire opportunity for an experienced Patient Account Rep in claims, denials, & collections to join as a permanent member of our healthcare RCM team - moves 100% REMOTE after 2-3 weeks of onsite training.
Patient Account Rep will audit & report to management all discrepancies in claims billing, comparing what was billed to contract parameters. Determines if claims are billed and paid timely, determine if interest is due from the Payer

SHIFT: Mon to Fri, 6a -3p, or 7: 30a –3: 30p (FT, 40 hours/week)

Payrange: $20/hr - $24/hr (Based on years of Experience)
  • REMOTE - Moves into fully Remote role after 2 - 3 weeks of Onsite Training at office in Dallas (Must live in DFW to attend onsite meetings each month)
EXPERIENCE REQUIREMENTS:
  • Must have 3+ years of prior medical denial experience - (3+ years required)
  • 3+ years experience in Medical Collections, resolving account balances and credit balances.
  • Good verbal & written communication skills and organizational abilities.
  • Ability to manage multiple priorities and function as a team player
  • Collectors following up on Denied Claims
  • Regular process –eligibility, coding, research process to find out the cause of claim to be denied
  • Resolving eligibility denials in the client system
  • Eligibility denial CO-109
  • Denial knowledge, determine next steps are to resolve the denial
    •Bilingual (English/Spanish) preferred
    •High School Diploma required
    •EMR Software: Epic preferred

ESSENTIAL FUNCTIONS
  • Claims Auditing –(40%)
  • Monitors adherence to quality standards based on guidelines set by RCM Management and payer contracts. Reviews quality of work done by Claims staff.
    1. Review and evaluate the accuracy of the Collector’s claim decisions.
    2. Identify any inconsistent and/or inaccurate benefit and policy usage.
    3. Review, update, and disseminate regulatory and internal procedures.
    4. Review and assess claims reporting mechanisms and assist in determining system inaccuracies.
    5. Audit Indigent program to ensure policies are met and accurate data is gathered to make decision for assistance
    6. Reporting findings to RCM Management on a weekly and monthly basis.
  • Report Findings - (15%)
    1. Maintain statistical data tracking quality and production totals. Analyze trends and submit monthly reports to RCM Management.
    2. Compile findings in spreadsheet for and present to management and team members on a weekly basis.
    3. Assists in the development of Credentialing Policies & Procedures.
  • Provides Department Support in the Absence of the Collectors –(7%)
    1. Assist with claims resolution and collection processes.
    2. Collectors, follow-up on Denied Claims

SOFTWARE SKILLS:
  • Proficient with MS Office software (Outlook, Word, Excel)
  • ECHO
  • CAQH
  • SMART CLIENT
  • ALLSCRIPTS
------------------ ** HOW TO APPLY **------------------
  1. If you are an experienced RCM Patient Account Rep specialist in denials, APPLY NOW with updated resume-  Then:
  2. Call Leah @ 214-730-5175 directly to provide interview availability & be reached out to ASAP
FULL LIST OF BENEFITS / PERKS (start immediately upon hire):
  • 401k
  • Paid Time Off (PTO) & Vacation
  • Retirement Plan
  • Health Insurance
  • Life Insurance
  • Dental Insurance
  • Vision Insurance
  • Flexible Spending Account (FSA)
  • Health Savings Account (HSA)
  • Maternity/Paternity Leave
  • Employee Assistance Program

Job Requirements

Denied claims, CO-109, eligibility, Medical Billing, Collections, Medical Denials, coding, claims, Patient Account, remote

Additional Information

401k, PTO, Retirement Plan, Health, Life, Dental, & Vision Insurance, Flexible Spending Account (FSA), Health Savings Account (HSA), Maternity and Paternity Leave, Employee Assistance Program

Meet Your Recruiter

Belinda Selvera

Apply Online

Send an email reminder to:

Share This Job:

Related Jobs:

Login to save this search and get notified of similar positions.

About Dallas, TX

Unlock your potential in the vibrant job market of the Dallas-Fort Worth metroplex! This bustling region in the great state of Texas boasts a perfect blend of southern charm and big-city opportunities. Dive into a dynamic career scene with access to renowned landmarks like the Dallas Arboretum and Botanical Garden, exquisite cuisine from Tex-Mex to BBQ, and cultural hotspots such as the Dallas Museum of Art and the AT&T Performing Arts Center. Cheer for the Dallas Cowboys at the AT&T Stadium or enjoy the outdoors at White Rock Lake. Discover why Dallas is the ultimate destination for growth, opportunity, and a fulfilling career journey. Explore our job listings today and embark on a new chapter in this captivating city!