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Patient Account Representative

https://www.roberthalf.com Logo

Robert Half

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Location:
United States , Sacramento

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Category:
-

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Contract Type:
Not provided

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Salary:

Not provided

Job Description:

Are you a detail-oriented healthcare professional with expertise in medical billing and patient account management? Our client is seeking a Patient Account Representative to join their team in the Sacramento area. In this position, you will play a key role in supporting patients throughout the pre-visit billing process, verifying insurance coverage, addressing outstanding balances, and providing a positive patient experience.

Job Responsibility:

  • Initiate and verify insurance coverage and eligibility for scheduled services
  • Review and obtain necessary pre-authorizations for treatments and procedures
  • Investigate drug benefits, communicate patient financial responsibilities, and support payment for services
  • Follow up on outstanding balances and unpaid insurance claims, including denials and patient portions
  • Interact with patients both in person and over the phone regarding billing inquiries and account resolutions
  • Draft effective appeal letters for initial and secondary insurance claim appeals
  • Assess account balances and determine appropriate next steps to ensure payment
  • Assist patients with co-pay and financial assistance programs, including sending information packets, answering questions, enrolling patients online, and helping to qualify for support
  • Utilize payer and benefit websites to track claim and appeal status
  • Manage phone queue for inquiries from patients and clinic staff
  • Contribute to proper inventory documentation and storage processes for high-cost treatments
  • Complete other administrative duties as assigned

Requirements:

  • High school diploma or GED required
  • Experience with medical billing, reimbursement procedures for government and private payers, and individual patient billing
  • Competency in analyzing insurance EOBs (Explanation of Benefits) and remittances
  • General knowledge of credit, collection, and basic accounting principles
  • Familiarity with CPT and ICD-10 medical coding
  • Demonstrated organizational, multitasking, and problem-solving skills
  • Strong proficiency in Microsoft Word, Excel, Outlook, and PowerPoint
  • Able to adapt to new processes quickly and effectively
  • Strong mathematical skills
  • Ability to meet daily department productivity goals
  • Local residency in the Sacramento, CA area is required

Nice to have:

  • 5+ years of medical billing experience (willing to train highly motivated candidates)
  • Experience using NextGen, Experian ClaimSource, and Denial Manager platforms
  • Spanish language proficiency is a plus
What we offer:
  • medical, vision, dental, and life and disability insurance
  • company 401(k) plan

Additional Information:

Job Posted:
March 01, 2026

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