The Patient Accounts Representative manages the full lifecycle of insurance claims, ensuring accurate billing, timely reimbursement, and effective communication with patients, payers, and internal teams. Responsibilities include proactive follow-up on insurance claims with Medicare, Medicaid, and commercial payers, reviewing and resolving denied or rejected claims, contacting patients for information and billing clarifications, maintaining compliant records to support audits, collaborating with billing, coding, verification, and vendors to improve accuracy, tracking payer behavior and reimbursement trends, assisting eligibility verification, identifying overpayments and preparing refund requests, responding to inbound calls, processing aging accounts receivable, and referring accounts to supervisors as needed.

Qualifications include a high school diploma or GED, minimum three years' experience in medical billing or healthcare accounts receivable, knowledge of medical terminology, ICD-10 coding, and insurance claim processes, understanding of Medicare, Medicaid, commercial insurance, and ambulance billing policies, experience resolving denied claims, proficiency in Microsoft Office and billing software, strong communication and organizational skills, and ability to multitask in a fast-paced environment.

Physical requirements involve sitting for extended periods, walking, standing, bending, twisting, simple grasping, fine manipulation, and extended keyboard use.

Work is performed in an air-conditioned office environment.

Harris County ESD 11 is an equal opportunity employer and provides reasonable accommodations for individuals with disabilities.