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Patient Accounts Rep Jobs in Texas (NOW HIRING)

Red River RCM

Be Seen First

Remote Patient Accounts Representative

Sherman, TX · On-site

$18 - $20/hr

Our Patient Account Representatives play an important role in helping resolve outstanding insurance accounts and ensuring claims are followed through to appropriate resolution. At Red River RCM, we ...

Red River RCM

Be Seen First

Remote Patient Accounts Representative

Sherman, TX · On-site

$18 - $20/hr

Our Patient Account Representatives play an important role in helping resolve outstanding insurance accounts and ensuring claims are followed through to appropriate resolution. At Red River RCM, we ...

US Physical Therapy

Patient Account Representative

Houston, TX · On-site

$17.50 - $23/hr

... Account Representative with strong technical ability and business acumen to join our expanding ... Research and resolve discrepancies in patient accounts. * Process payments and refunds. * Review ...

Medix

Patient Account Representative

San Antonio, TX · On-site

$20 - $23/hr

We are seeking an experienced health insurance Accounts Receivable professional to join a growing medical consulting firm as a Patient Account Representative. This is a hybrid position - a blend of ...

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All JobsPatient Accounts Rep JobsPatient Accounts Rep Jobs in Texas

Patient Accounts Rep information

See Texas salary details

$10

$19

$26

How much do patient accounts rep jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for patient accounts rep 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 does a patient accounts rep do?

A Patient Accounts Representative is responsible for managing patient billing and insurance claims within healthcare facilities. They handle patient accounts, process payments, resolve billing discrepancies, and communicate with insurance companies to ensure proper reimbursement. Additionally, they assist patients with understanding their bills, setting up payment plans, and addressing any questions related to their accounts. This role requires strong communication, organizational, and customer service skills.

What are the key skills and qualifications needed to thrive as a patient accounts rep?

To thrive as a Patient Accounts Representative, you need a solid understanding of medical billing, insurance procedures, and basic accounting, typically supported by a high school diploma or associate degree in a related field. Familiarity with practice management software, electronic health records (EHR) systems, and medical coding standards such as ICD-10 and CPT is essential. Strong communication, attention to detail, and problem-solving skills help you effectively resolve billing issues and interact with patients and insurance companies. These skills are crucial for ensuring timely and accurate billing, maximizing revenue, and maintaining positive patient relationships.

What are some common challenges faced by patient accounts reps in managing billing and insurance claims?

Patient Accounts Representatives often encounter challenges such as navigating complex insurance policies, resolving discrepancies in patient billing, and keeping up with frequent changes in healthcare regulations. Effective communication with patients, insurance companies, and healthcare providers is essential to clarify benefits, address denied claims, and ensure timely payment. Staying organized and detail-oriented helps representatives manage multiple accounts efficiently, reduce errors, and maintain a positive patient experience.

What is the difference between Patient Accounts Rep vs Medical Billing Specialist?

AspectPatient Accounts RepMedical Billing Specialist
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification preferred
Work EnvironmentHealthcare facilities, hospitals, clinicsMedical offices, billing companies, healthcare providers
Primary ResponsibilitiesManaging patient accounts, billing, collections, insurance follow-upPreparing and submitting insurance claims, coding, reimbursement processing

While both roles involve billing and financial tasks in healthcare, Patient Accounts Reps focus more on managing patient accounts and collections, whereas Medical Billing Specialists primarily handle insurance claims and coding. Both positions require knowledge of healthcare billing processes and may overlap in some duties, but their core functions differ slightly based on their focus areas.

What are popular job titles related to Patient Accounts Rep jobs in Texas?

For Patient Accounts Rep jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Patient Accounts Rep jobs in Texas look for?

The top searched job categories for Patient Accounts Rep jobs in Texas are:

Patient Accounts Rep jobs near you
Infographic showing various Patient Accounts Rep job openings in Texas as of August 2026, with employment types broken down into 2% As Needed, 74% Full Time, 15% Part Time, 8% Contract, and 1% Nights. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $41,505 per year, or $20 per hour.

Patient Accounts Representative

Harris County ESD 11

Spring, TX • On-site

$16 - $21.25/hr

Full-time

Posted 25 days ago

Job description

Description

SUMMARY:

The Patient Accounts Representative is responsible for managing the full lifecycle of insurance claims, ensuring accurate billing, timely reimbursement, and exceptional communication with patients, payers, and internal departments. This role requires strong analytical skills, attention to detail, and the ability to navigate complex payer requirements across Medicare, Medicaid, and commercial insurance plans. 


ESSENTIAL FUNCTIONS:

  • Performs proactive follow-ups on insurance claims with Medicare, Medicaid, and commercial payers to drive timely resolution of outstanding balances and reduce aging accounts.
  • Reviews, analyzes, and resolves denied or rejected claims by identifying root causes, correcting errors, and submitting accurate documentation to payers.
  • Contacts patients to obtain missing information, clarify billing concerns, and provide clear updates on claim status and financial responsibilities.
  • Maintains detailed, compliant records of all claim activity, payer interactions, and follow-up actions within internal systems to support audit readiness.
  • Partners with billing, coding, verification and external vendors to insure accuracy and address system issues contributing to denials.
  • Tracks payer behavior and reimbursement patterns, escalating issues to leadership to support process improvements and revenue protection.
  • Assists the verification team as needed to confirm patient eligibility and benefits, preventing avoidable claim delays.
  • Identifies overpayments for both patients and insurance carriers, prepares refund requests with proper documentation, and notifies management promptly.
  • Answers inbound calls from patients, attorneys, and other stakeholders, providing accurate information and resolving billing-related inquiries.
  • Monitors and maintains accounts      receivables by processing aging reports and specific workflows as      indicated by the collection procedures for each payer type.
  • Refers accounts to Patient Account      Supervisor/Manager, as needed.
  • Performs other duties as assigned. 

QUALIFICATIONS:

  • High School Diploma or GED      equivalent.
  • Minimum of three (3) years of      experience in medical billing, insurance follow-up, or healthcare accounts      receivable.
  • Knowledge of medical terminology,      ICD-10 coding, and insurance claim filing processes.
  • Understanding of Medicare, Medicaid,      commercial insurance, and ambulance billing policies and procedures.
  • Experience resolving denied or      rejected claims and working payer accounts receivable.
  • Proficient in Microsoft Office,      including Excel and Word, and billing system software.
  • Strong communication,      organizational, and customer service skills.
  • Ability to multi-task, prioritize      workload, and work effectively in a fast-paced environment.
  • Must have been excluded by the OIG      to Participate in Federally Funded Health Care Programs

PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

  • Sit for extended periods of time
  • Walk, stand, bend, squat, twist and reach
  • Simple grasping and fine manipulation
  • Extended keyboarding


WORKING CONDITIONS

  • Air-conditioned office environment

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