Patient Account Representative

TEKsystems•Annapolis, MD

1d•Hybrid

About The Position

We are seeking an experienced Patient Account Representative to support hospital revenue cycle operations with a strong focus on third‑party payer follow‑up, denials, appeals, and billing. This role plays a critical part in ensuring timely reimbursement, maximizing cash flow, and maintaining compliance with payer and regulatory requirements. This is an excellent opportunity to join one of the region’s largest health systems, working alongside a collaborative Patient Financial Services (PFS) team in a structured, high‑impact environment.

Requirements

High School Diploma or equivalent
Minimum 2 years of hospital accounts receivable experience
Minimum 2 years of experience working hospital denials and appeals
Minimum 2 years of hospital billing experience
Hands‑on experience using EPIC
Experience working with BCBS payers

Nice To Haves

Strong understanding of hospital revenue cycle workflows
Experience interacting with insurance carriers and regulatory entities
Ability to manage multiple accounts and priorities in a deadline‑driven environment

Responsibilities

Perform follow‑up on third‑party payer accounts receivable, including denials and appeals
Work assigned payer accounts by setting up and managing work queues, denial workflows, and AR reports
Submit and manage hospital claims through the full revenue cycle to ensure timely reimbursement
Research and resolve unpaid or underpaid claims to protect the organization from revenue loss
Act as a liaison between patients, internal departments, and PFS teammates to gather required claims information
Communicate with insurance payers and external departments to resolve outstanding receivables
Obtain insurance information and secure authorizations required for services
Ensure compliance with state, federal, and payer‑specific billing and reimbursement regulations
Stay current on regulatory and payer requirement changes
Follow standard daily work processes related to third‑party follow‑up and reporting
Collaborate with internal departments as needed to support claims resolution