Patient Account Representative

OMS MEDICAL BILLING LLC•Addison, TX

10d•$19 - $25•Onsite

About The Position

The Patient Account Representative is responsible for delivering exceptional service to patients with inquiries related to anesthesia billing while also supporting revenue cycle performance through high-level denied claim and appeals support. This role helps ensure patients receive clear, accurate guidance regarding charges and payment options, and that claim issues are routed and supported appropriately to promote timely reimbursement. This is a full-time, on-site position based at our corporate office in Addison, TX. Regular business hours on-site presence is required.

Requirements

High school diploma or equivalent required
1–3 years of experience in medical billing or patient financial services/customer service
Familiarity with denied claims and/or appeals workflows preferred.
Working knowledge of insurance plans, medical terminology, CPT/HCPCS, ICD-10 concepts, and EOB interpretation.
Strong communication, interpersonal, and problem-solving skills (including the ability to explain billing clearly to patients).
Strong attention to detail and ability to manage competing priorities in a fast-paced environment.
Proficient in medical billing software systems and Microsoft Office applications.

Nice To Haves

Bachelor’s degree in Healthcare Administration, Business, or related field preferred or equivalent experience
anesthesia or surgical billing experience preferred
Bilingual (Spanish/English) preferred but not required.

Responsibilities

Respond to inbound and outbound patient calls regarding anesthesia billing, balances, payment arrangements, insurance benefits, and patient financial responsibility.
Explain charges, EOBs, and payment responsibilities clearly and professionally.
Verify and update patient demographics, insurance information, and account/payment status within the billing system.
Process patient payments and update account records accurately and timely.
Respond to patient inquiries through email, voicemail, and the patient portal.
Accurately document all patient interactions and outcomes in the system.
Assist with patient statement processing, refunds, and follow-up on balance billing questions/issues.
Escalate complex account concerns to appropriate billing, coding, or management team members.
Collaborate with billing and coding teams to clarify documentation and resolve discrepancies.
Support the denial and appeals process by identifying accounts requiring follow-up and ensuring needed information/documentation is gathered and routed appropriately.
Communicate with payers, internal teams, and patients as needed regarding claim status and next steps.
Maintain compliance with HIPAA and OrthoMed privacy and security policies.
Support special projects, audits, and claim follow-up tasks as needed.
Other duties as assigned.