Patient Accounts Representative

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Patient Accounts Representative calculating cost estimates and verifying insurance for scheduled procedures. Role supports a client in the healthcare industry, specifically for ambulatory surgery centers.

Posted 7/31/2026full-timeRemote • Hawaii • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in calculating cost estimates, verifying insurance eligibility, and managing patient financial responsibilities while ensuring compliance with HIPAA regulations. Strong communication and organizational skills are essential for effective patient interaction and documentation management.

Highest-signal resume keywords

Cost EstimationInsurance VerificationPrior Authorization SubmissionCustomer ServiceHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Cost EstimationInsurance VerificationPrior AuthorizationPayment ProcessingDetail Orientation

Soft Skills

Customer ServiceOrganizational SkillsTime ManagementWritten CommunicationOral Communication

Tools & Technologies

Practice Management SystemsExcel

Industry Keywords

MedicareMedicaidCommercial InsurancePatient ConfidentialityFinancial Counseling

About the role

Key responsibilities & impact

Calculate and provide accurate, timely cost estimates for scheduled procedures based on patient insurance, benefits, and historical data
Verify insurance eligibility, benefits, and coverage levels (Medicare, Medicaid, Commercial) to determine patient financial responsibility
Review and provide accurate, timely prior authorization submission for scheduled procedures based on patient insurance, benefits, and clinical data
Communicate directly with patients regarding their estimated financial liability and discuss payment options or financial counseling needs
Secure necessary pre-certifications and authorizations, ensuring all documentation is accurate
Log in and out of multiple systems (including practice management systems) to research and answer patient’s questions, accurately and with detail
When handling incoming, returning or placing outbound calls, adhere to HIPAA privacy regulations
Obtain patient payment information over the phone, process the payment and appropriately note the account
Escalate issues effectively to a supervisor or management for assistance
Responsible for ensuring all client specific protocols are followed during the patient billing cycles
Respond to requests, professionally and promptly, and follow up with outstanding requests in a similar matter

Requirements

What you’ll need

High School Diploma or equivalent
Exceptional customer service skill set
Mandatory compliance with strict patient confidentiality policies
Detail oriented
Basic computer knowledge, with Excel experience
Strong organizational & time management skills
Good written and oral communication skills

Benefits

Comp & perks

Medical
Dental
Vision
3 Weeks PTO + 9 Company Paid Holidays (includes day after Thanksgiving and Christmas Eve)
401K Match