Patient Account Representative

OMS MEDICAL BILLING LLC•Addison, TX

6d•$42,915 - $60,080•Onsite

About The Position

The Patient Account Representative delivers service to patients with questions about anesthesia billing and supports revenue cycle performance through denied-claim and appeals support. The role provides clear, accurate guidance about charges and payment options, and helps route and support claim issues to promote timely reimbursement. This is a full-time, on-site position at OrthoMed’s corporate office in Addison, Texas. Regular on-site presence during business hours is required.

Requirements

High school diploma or equivalent required.
1–3 years of experience in medical billing or patient financial services/customer service.
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.
Proficiency with medical billing software systems and Microsoft Office applications.

Nice To Haves

Bachelor’s degree in Healthcare Administration, Business, or a related field, or equivalent experience.
Anesthesia or surgical billing experience.
Familiarity with denied-claims and/or appeals workflows.
Bilingual English/Spanish skills.

Responsibilities

Respond to inbound and outbound patient calls about anesthesia billing, account balances, payment arrangements, insurance benefits, and patient financial responsibility.
Explain charges, explanations of benefits (EOBs), and payment responsibilities clearly and professionally.
Verify and update patient demographics, insurance information, and account and payment status in the billing system.
Process patient payments and update account records accurately and promptly.
Respond to patient inquiries by email, voicemail, and patient portal.
Document patient interactions and outcomes accurately in the system.
Assist with patient statement processing, refunds, and follow-up on balance billing questions or 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.
Identify accounts requiring denial or appeals follow-up and ensure necessary information and documentation are gathered and routed appropriately.
Communicate with payers, internal teams, and patients about 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.
Perform other duties as assigned.