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Patient Account Jobs in Texas (NOW HIRING)

Are you ready for your next career adventure as a Patient Account Representative? We are currently hiring immediately! We are dedicated and devoted to consistently improving the culture of our team ...

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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Patient Account information

See Texas salary details

$10

$19

$26

How much do patient account jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for patient account in Texas is $19.95, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $21.30 per hour, depending on experience, location, and employer.

What is a patient account?

Patient account representatives are professionals who handle billing and account management tasks in healthcare settings. They are responsible for communicating with patients about their medical bills, insurance claims, payment plans, and resolving any account discrepancies. Their goal is to ensure accurate billing and provide support to patients throughout the payment process, often serving as the main point of contact between healthcare providers and patients regarding financial matters.

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

To thrive as a Patient Account Specialist, you need a solid understanding of medical billing, insurance claims processing, and healthcare regulations, typically supported by a high school diploma or associate degree in a related field. Familiarity with medical billing software, electronic health record (EHR) systems, and coding standards like ICD-10 and CPT is essential. Strong attention to detail, problem-solving abilities, and effective communication skills help you resolve billing issues and interact professionally with patients and insurance providers. These skills ensure accurate account management, timely reimbursements, and a positive financial experience for both patients and healthcare organizations.

What are some common challenges faced in a patient account role and how can they be managed?

Professionals in Patient Account roles often encounter challenges such as handling billing discrepancies, communicating with insurance providers, and assisting patients with payment plans or billing questions. Managing these challenges requires strong attention to detail, empathy when addressing patient concerns, and the ability to stay organized amidst high volumes of account information. Proactive communication, regular training on billing systems, and staying updated on healthcare regulations can help streamline processes and reduce errors. Collaboration with clinical staff and insurance representatives is also essential for resolving account issues efficiently.

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

AspectPatient AccountMedical Billing Specialist
CredentialsHigh school diploma; some roles require certificationHigh school diploma; certification often preferred
Work EnvironmentHealthcare facilities, hospitals, clinicsMedical offices, billing companies, healthcare providers
Primary ResponsibilitiesManaging patient accounts, billing, payments, insurance claimsPreparing and submitting insurance claims, coding, billing processes
Employer & Industry UsageHospitals, clinics, healthcare providersBilling companies, healthcare providers, insurance companies

While both roles involve billing and insurance processes, a Patient Account focuses on managing individual patient accounts, payments, and collections, whereas a Medical Billing Specialist primarily handles the preparation and submission of insurance claims and coding. Understanding these differences helps in choosing the right career path or job focus within healthcare billing.

How to become a patient account representative?

To become a patient account representative, candidates typically need a high school diploma or equivalent, along with knowledge of medical billing, coding, and insurance procedures. Relevant skills include attention to detail, communication, and proficiency with billing software. Certification in medical billing or coding can enhance job prospects.

What do patient accounts do?

Patient account professionals manage billing and financial records for healthcare providers, ensuring accurate processing of patient payments, insurance claims, and account balances. They often use billing software and need knowledge of healthcare policies and insurance procedures to facilitate smooth financial transactions.

What are the most commonly searched types of Patient Account jobs in Texas?

The most popular types of Patient Account jobs in Texas are:

What cities in Texas are hiring for Patient Account jobs?

Cities in Texas with the most Patient Account job openings:

Infographic showing various Patient Account job openings in Texas as of August 2026, with employment types broken down into 3% As Needed, 73% Full Time, 17% Part Time, and 7% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $41,505 per year, or $20 per hour.

Patient Account Rep

Fort Worth, TX


Cook Children's Health Care System
Health Care and Social Assistance • 5 - 10K employees

7.9

Company rating: 7.9 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

107th of 896 rated healthcare providers

People enjoy working here

Good employer

Recommended by students


$17.25 - $22.75/hr

Full-time

Re-posted 16 days ago


Job description

Location:

Home Health - Fort Worth

Department:

Administration

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The Patient Account Representative is responsible for performing internal medical record audits to ensure billing operations meet compliance with State and federal guidelines for accurate claims processing. This position processes electronic and paper claims for Nursing (hourly and visit), Rehab, Durable Medical Equipment, and Infusion services, reconciles patient accounts and works with the accounts receivable; providing the Patient Account manager with financial data; volume data and trend analyses. This position serves as liaison between assigned departments and patient accounts, communicating effectively with patients, payors and other departments regarding collection of outstanding accounts, maintaining proper documentation and edits of work performed; and at all times maintaining a professional demeanor.
Education and Experience:

  • High School Diploma or equivalent

  • Preferred 1 year billing or related experience in Home Health setting; in lieu of billing experience, 2 years of customer service;

  • Preferred knowledge of Federal and State billing guidelines

  • High degree of interpersonal skills

  • Computer proficiency

About Us:

Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.


Cook Children's Health Care System logo

About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

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What Cook Children's Health Care System employees say

Pay

Benefits

Hours and flexibility

Workplace

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