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How much do patient accounting representative jobs pay per hour?

As of Jul 1, 2026, the average hourly pay for patient accounting representative in the United States is $21.42, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $23.08 per hour, depending on experience, location, and employer.

What Is a Patient Accounting Representative?

A patient accounting representative is in charge of all patient accounting activities. In this career, you complete billing processes and handle revenue collections from patients or a third-party payer. Your responsibilities include processing applications from medical and life insurance and supplemental benefits, and you also review and process insurance claims to maximize reimbursement. You must be sure to follow office policies and follow up with necessary persons. You also handle all patient requests for medical records, doctor notes, and more. Other duties include maintaining a database with patient accounting data, keeping an updated list of insurance carriers and employers, and maintaining patient confidentiality. You are also expected to review daily reports from the clearinghouse, make corrections, and submit a clean claim.

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Patient Accounting Representative jobs near you
Infographic showing various Patient Accounting Representative job openings in the United States as of June 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $44,557 per year, or $21.4 per hour.
Patient Accounting Representative I - Reimbursement-Refunds

Patient Accounting Representative I - Reimbursement-Refunds

Halifax Health

Daytona Beach, FL • On-site

Full-time

Posted 3 days ago

Halifax Health rating

6.0

Company rating: 6.0 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

731st of 877 rated healthcare providers

Job description

Day (United States of America)Patient Accounting Representative I - Reimbursement-RefundsWill be responsible for working insurance and patient credit balances and refund requests. This individual plays an active role in the Revenue Cycle by accurately applying contracts, requesting adjustments and refunding overpayments while tracking and trending for process improvement. Keeps management apprised to any issues related to credit balances and posting.

Job Qualifications

  • Associate's Degree in Accounting, Business Administration, Finance or at least two (2) years in a related field which can be substituted for a degree.
  • Preferred minimum of two (2) years of healthcare experience in the area of reimbursement methodologies including managed care contracts, Medicaid and Medicare.
  • Preferred knowledge of electronic remittance posting, interpretation of explanation of benefits, cash applications and batch posting processes.
  • Preferred knowledge in third party billing and collections in a hospital setting.
  • Excellent analytical, communication and organizational skills with strong attention to detail.
  • Self-starter with the ability to work with minimal supervision.
  • Proficient PC skills including Microsoft Outlook, Word and Excel.
  • Must be able to function and meet deadlines under stressful conditions and prioritize work flow.

Job Duties and Responsibilities

  • Processes third party and patient refunds in adherence with company policy.
  • Researches credit balance accounts for possible refund or retraction.
  • Reviews incoming refund requests, via mail or fax from insurance or audit companies, for validity and responds appropriately.
  • Sends any necessary adjustments, posting corrections or payment transfers to the Payment Poster Specialist.
  • Coordinates refunds/retractions with third party vendors working on behalf of Halifax Health in accordance with company policy.
  • Compose letters or faxes disputing refunds to insurance or audit companies.
  • Call insurance companies to obtain additional information concerning the credit balance.
  • Complete audits from insurance companies or internal compliance in a timely manner.
  • Submits refund posting report to the Accounting department weekly.
  • Responds to system tasks in a timely manner.
  • Contributes to effective working relationships by demonstrating a positive and helpful attitude with co-workers.
  • Maintains privacy strictly adhering to HIPAA guidelines.
  • Performs other duties as assigned

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