Patient Billing Specialist

Job Description

Exciting Fulltime onsite role in San Antonio Texas with no nights or weekends!

Patient Financial Representative – Senior (Onsite)

Revenue Cycle | Healthcare | 3–5 Years Experience

We are seeking a detail-oriented and experienced Senior Patient Financial Representative to support Revenue Cycle operations and ensure timely, accurate resolution of patient accounts and outstanding balances.

This role plays a critical part in billing, collections, cash reconciliation, and account resolution while delivering exceptional service to internal teams, payors, and patients.

Experience

• 3–5 years of healthcare revenue cycle experience
• Experience in a multi-facility hospital business office environment preferred

What We’re Looking For

• Strong knowledge of CPT, HCPCS, and ICD-10 coding guidelines
• Solid understanding of billing, collections, and payor regulations
• Excellent written and verbal communication skills
• High attention to detail and problem-solving ability
• Professionalism and commitment to ethical standards

Key Responsibilities

Revenue Cycle Operations

• Perform revenue cycle functions to meet or exceed key performance and productivity standards.
• Review and resolve account inquiries via written, verbal, or electronic communication.
• Collect and verify patient and payor information to facilitate account resolution.
• Maintain working knowledge of insurance billing guidelines and third-party payor regulations.
• Ensure compliance with all organizational, payor, and government regulations.
• Document account activity accurately within patient accounting systems.

Billing

• Review and correct claim edits.
• Resolve rejected claims and prepare for resubmission.
• Process billing requests and reports.
• Demonstrate knowledge of standard bill forms and electronic claim submission processes.

Collections

• Follow up with payors to ensure proper reimbursement.
• Research and resolve denials, underpayments, and credit balances.
• Work daily collector queues and reporting systems.
• Identify trends impacting reimbursement and communicate findings to leadership.

Cash Reconciliation

• Reconcile payments accurately and timely with accounting systems and bank statements.
• Research unapplied cash and resolve discrepancies.
• Post cash corrections and ensure all receipts are properly applied.
• Partner with Finance, Facilities, and vendor teams to resolve payment issues.

Education

• High School Diploma or equivalent required
• Post-secondary education preferred