Patient Relations Representative - Revenue Cycle - Full Time

SolutionHealth • Nashua, NH

11d • Onsite

About The Position

The Patient Relations Representative supports the Central Billing Office within the Revenue Cycle department and plays a key role in promoting revenue integrity. This position is responsible for resolving patient billing questions accurately and efficiently while delivering exceptional customer service. The role is on-site and involves frequent interaction with patients, families, internal departments, and external vendors.

Requirements

• High School Diploma or equivalent
• 1–3 years of experience in medical billing, collections, or a related role within a hospital, physician office, or insurance setting
• Working knowledge of CMS guidelines, third‑party payers, Medicaid, managed care products, workers’ compensation, and liability plans
• Understanding of state and federal regulations related to self‑pay collections and Fair Debt Policy
• Strong organizational skills, attention to detail, and ability to follow through on tasks
• Excellent verbal and written communication skills
• Ability to work in a fast‑paced, high‑call‑volume environment while maintaining professionalism and confidentiality

Nice To Haves

• Prior EPIC billing experience
• Bilingual in English and Spanish

Responsibilities

• Respond to patient billing inquiries via phone, email, and in person, documenting all interactions in the electronic patient accounting system
• Review and explain accounts receivable processes, insurance payments, and patient financial responsibility
• Assist patients and family members in understanding insurance Explanation of Benefits and resolving billing concerns
• Determine appropriate payment resolution paths, including payment in full, payment plans, Medicaid, or other options
• Collaborate with Financial Counselors, Early Out vendors, and Bad Debt vendors
• Support internal departments with billing-related questions
• Correct and update patient demographic and insurance information as needed
• Manage assigned work queues and special billing projects
• Forward attorney and collection agency inquiries to Revenue Cycle leadership
• Perform additional duties as assigned

Benefits

• Health, dental, prescription, and vision coverage for full‑time & part‑time employees
• Medical, dental, and vision coverage
• Life insurance
• Short‑ and long‑term disability
• Flexible Spending Accounts (FSA)
• Competitive pay
• Tuition Reimbursement
• Nursing Student Loan Paydown Program
• 403(b) Retirement Savings Plan
• Education & paid training courses for continued career progression

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED