Patient Representative Jobs

About The Position

Requirements

• High school diploma or equivalent.
• 2–3 years of experience in patient access, registration, billing, or revenue cycle operations.
• An equivalent combination of education and experience may be considered.
• All qualifying experience must be paid and in the same related field; part-time and PRN experience is prorated based on hours worked per week.
• Volunteer work and internships for academic credit are not counted.

Responsibilities

• Maintain a queue or worklist of accounts flagged for registration or billing follow-up.
• Independently review and correct claims and charge errors rejected, denied, or suspended due to registration or data issues.
• Contact patients to collect or clarify workers’ compensation, accident, or insurance details, including claim numbers, employer, or authorization information.
• Document communications, track responses, and accurately update patient account records.
• Coordinate with employers, insurance carriers, attorneys, or adjusters to obtain required documentation.
• Verify and obtain subrogation or third-party liability information to support accurate billing.
• Meet departmental KPIs for claim resolution, registration completeness, denial reduction, and accounts receivable performance.
• Collaborate with registration, billing, clinical, coding, and customer service teams to ensure seamless information flow.
• Provide feedback to frontline registration staff to reduce recurring data-entry errors.
• Participate in process-improvement initiatives to enhance registration and billing accuracy.
• Perform other duties as assigned.