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Patient Account Specialist Jobs (NOW HIRING)

MM International

Patient Account Specialist

Houston, TX · On-site

$17.75 - $22.50/hr

Summary Patient Account Specialist Senior- ONSITE Medical Collections & Account Resolution; 3-5 years of experience in a Customer Service call center environment with a focus on healthcare billing ...

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How much do patient account specialist jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for patient account specialist in the United States is $20.31, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $22.60 per hour, depending on experience, location, and employer.

What is a patient account specialist?

A Patient Account Specialist is a healthcare administrative professional who manages patient billing and account information for medical facilities. They are responsible for processing payments, resolving billing issues, verifying insurance coverage, and ensuring patient records are accurate and up-to-date. Their work helps ensure the financial operations of a healthcare provider run smoothly while assisting patients in understanding their bills and payment options.

What are the key skills and qualifications needed to thrive as a patient account specialist?

To excel as a Patient Account Specialist, you need a solid understanding of medical billing, insurance verification, and patient account management, usually supported by experience in healthcare administration or a related associate degree. Familiarity with medical billing software, electronic health record (EHR) systems, and coding standards such as ICD-10 and CPT is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for resolving billing issues and interacting with patients. These competencies ensure accurate financial processing, reduced billing errors, and positive patient experiences in healthcare facilities.

What are the most common challenges faced by patient account specialists, and how can they be addressed?

Patient Account Specialists often encounter challenges such as managing high volumes of patient billing inquiries, navigating complex insurance policies, and ensuring the accuracy of patient account information. Staying organized and maintaining clear communication with both patients and insurance providers are essential for success. Regular training on billing software and keeping up-to-date with healthcare regulations can also help address these challenges and improve efficiency in the role.

What is the difference between Patient Account Specialist vs Medical Billing Specialist?

AspectPatient Account SpecialistMedical Billing Specialist
CredentialsHigh school diploma, certification in medical billing or coding often preferredHigh school diploma, certification in medical billing or coding usually required
Work EnvironmentHealthcare facilities, hospitals, clinicsMedical offices, billing companies, healthcare providers
Job FocusManaging patient accounts, billing, collections, insurance claimsProcessing medical claims, coding, billing submissions

Both roles involve billing and coding but differ in focus. Patient Account Specialists primarily handle patient accounts and collections, while Medical Billing Specialists focus on processing claims and coding. Understanding these differences helps job seekers find the right fit in healthcare billing roles.

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Patient Account Specialist jobs near you
Infographic showing various Patient Account Specialist job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 69% Full Time, 19% Part Time, and 8% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $42,240 per year, or $20.3 per hour.

Patient Account Specialist

Professional Physical Therapy

Melville, NY • On-site

$23.35 - $26.39/hr

Full-time

Retirement, PTO

Re-posted 18 hours ago

Professional Physical Therapy rating

4.1

Company rating: 4.1 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

Job description

Patient Accounts Specialist
(Medicare Professional & Institutional Billing)
Full-Time Hybrid
Base Salary: $23.35-$26.39/hour (commensurate with experience)
Hours: 8:00 am - 4:30 pm
Under the supervision of the Manager of Patient Accounts, the Patient Accounts Specialist manages Medicare professional and institutional accounts throughout the revenue cycle. This role is responsible for insurance follow-up, denial resolution, claim corrections, appeals, payment research, and account documentation to support accurate, timely reimbursement. The ideal candidate has strong knowledge of healthcare billing, payer requirements, and revenue cycle operations, with the ability to identify reimbursement issues, resolve complex claims, and recognize opportunities for process improvement.
What You'll Do
  • Review professional and institutional claims for accuracy, completeness, coding consistency, authorization status, and payer requirements.
  • Validate patient, provider, insurance, coding, and billing information to ensure clean claim submission and accurate reimbursement.
  • Research and resolve claim edits, clearinghouse rejections, denials, underpayments, unpaid claims, billing discrepancies, and reimbursement issues.
  • Prepare and submit corrected, replacement, voided, and appealed claims in accordance with payer guidelines and timely filing requirements.
  • Follow up on outstanding insurance and patient balances through final account resolution.
  • Research payer policies, reimbursement guidelines, and claim requirements using payer portals and available resources.
  • Review remittance advice, claim history, account documentation, and billing records to determine root causes and resolve payment issues.
  • Identify recurring denial trends and reimbursement issues, escalating opportunities for process improvement to leadership.
  • Maintain accurate, timely documentation of all account activity within the billing system.
  • Comply with organizational policies, regulatory requirements, and perform other duties as assigned.

What You'll Bring
  • 2-5 years of experience in patient accounts, insurance follow-up, denial management, healthcare billing, or revenue cycle operations.
  • Experience with Medicare and/or Medicaid professional and institutional billing preferred.
  • Strong knowledge of claims processing, accounts receivable, appeals, denial management, payer reimbursement guidelines, and outpatient reimbursement methodologies.
  • Working knowledge of CPT, HCPCS, ICD-10 coding, NCCI edits, medical necessity, and authorization requirements.
  • Experience using billing systems, clearinghouse platforms, and payer portals; experience with Raintree, Waystar, Inovalon, Wellpoint Federal, and ePaces is preferred.
  • Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.
  • Ability to interpret remittance advice, claim status responses, and payer correspondence.
  • Proficiency in Microsoft Office.
  • Excellent communication and customer service skills with the ability to build positive relationships with patients, payers, and colleagues.
  • Ability to prioritize competing deadlines while maintaining accuracy and meeting timely filing requirements.

Benefits
Rest, Reset & Recharge: 2 weeks PTO; Sick time in accordance with state and local requirements; plus 6 major holidays.
Plan Ahead: Company-matched 401(k) available once eligibility requirements are met.
Commute Smart: Pre-tax transit and parking benefits through WageWorks.
Care for Your Crew: MetLife Pet Insurance with flexible plans and 24/7 telehealth support.
Play More, Pay Less: Exclusive discounts through PlumBenefits and LifeMart.
Equal Opportunity Employer, including Disabled/Veterans.

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