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Patient Accounts Rep Jobs (NOW HIRING)

UHS

Patient Accounts Representative

Sacramento, CA · On-site

$21 - $23/hr

The Patient Account Representative is responsible for submittal of electronic and manual billings, account statements, and for follow-up with third-party payers and patients for outstanding balances.

BJC HealthCare

Patient Accounts Rep II

Saint Louis, MO · On-site

$16.25 - $21.50/hr

Additional Information About the Role BJC HealthCare is seeking a Patient Accounts Rep II to join our team! This individual will be following up with commercial payors to resolve unpaid claims.

UHS

PATIENT ACCOUNTS REP

Washington, DC · On-site

$19.75 - $26/hr

The Patient Account Representative plays a key role in efficiently coordinating the timely collection of patient out-of-pocket expenses to ensure smooth financial operations. Job Duties ...

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How much do patient accounts rep jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for patient accounts rep in the United States is $21.42, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $22.84 per hour, depending on experience, location, and employer.

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 the key skills and qualifications needed to thrive as a Patient Accounts Representative, and why are they important?

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 does a Patient Accounts Representative 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 some common challenges faced by Patient Accounts Representatives 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 states have the most Patient Accounts Rep jobs? States with the most job openings for Patient Accounts Rep jobs include:
What job categories do people searching Patient Accounts Rep jobs look for? The top searched job categories for Patient Accounts Rep jobs are:
Patient Accounts Rep jobs near you
Infographic showing various Patient Accounts Rep job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 16% Part Time, and 1% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $44,549 per year, or $21.4 per hour.
Patient Accounts Representative II

Patient Accounts Representative II

Howard University Hospital

Washington, DC

$20.50 - $27/hr

Full-time

Medical, Retirement, PTO

Re-posted 17 days ago

Howard University Hospital rating

7.6

Company rating: 7.6 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

251st of 1,020 rated hospitals

Job description

Patient Accounts Representative II

Howard University Hospital  |  Washington, DC

Role Summary

As a Patient Accounts Representative II at Howard University Hospital, you will play a critical role in the financial health of our institution — ensuring that the care our clinicians deliver is properly billed, accurately paid, and compliantly documented. Reporting to the Manager of Patient Accounts, you will manage hospital accounts from claim creation through final adjudication, working third-party payers, government programs, and managed care plans to resolve unpaid balances and protect Hospital revenue.

If you bring deep experience in hospital billing and collections, an eye for detail, and the persistence to work claims to resolution, this is your opportunity to contribute to the financial sustainability of one of the nation’s most storied academic medical centers.

What You’ll Do

Account & Insurance Management

  • Review and update patient account insurance information, ensuring third-party payer information is complete and accurate
  • Enter and update patient, insurance, contract, revenue, and reimbursement data into one or more hospital applications
  • Verify insurance eligibility and covered services to support accurate claim creation and timely adjudication

Billing & Claims

  • Prepare and submit hardcopy and electronic billing claim packages, collecting all necessary materials for proper claim creation and modification
  • Make payer-specific data changes as required for accurate, compliant, and timely billing
  • Verify that payments and account balances align with payer contracts and applicable billing rules and regulations

Collections & Denial Resolution

  • Contact insurance carriers as scheduled by the collection tool; communicate clear action plans when adjudication is delayed
  • Identify, review, and resolve denied claims daily; monitor accounts receivable status using Siemens Invision Unity, ePremis, EDM, the Medicaid and Medicare portals, CareFirst, and MCO portals
  • Perform payer remittance and reimbursement posting reconciliation; ensure reimbursement is consistent with payer contractual terms before performing adjustments or billing patient responsibility
  • Review and resolve credit balances accurately; report out-of-the-ordinary circumstances to immediate supervisors for investigation

Customer Service & Documentation

  • Receive and respond promptly to internal and external phone calls, correspondence, and inquiries related to patient accounts
  • Prepare and maintain supporting data and documents on all required activities within the hospital system as defined by departmental guidelines

Compliance & Regulatory

  • Promote adherence to the Health Sciences Compliance Program, the Howard University Code of Ethics, the Health Sciences Standards of Conduct, and HIPAA
  • Attend annual and periodic mandatory compliance training, including HIPAA Privacy training; actively participate in compliance program activities
  • Participate in activities that promote adherence to federal healthcare program requirements
  • Maintain strict confidentiality of patients, families, and staff

Required Qualifications

  • High School Diploma or General Equivalency Diploma (G.E.D.) required
  • Minimum of five (5) years of experience in billing, collections, customer service, or cash posting required
  • Hospital setting experience required
  • Acute care facility experience required, including inpatient stay collection, DRG reimbursement, and Medicare and Medicaid payer experience
  • Certified Patient Account Representative (CPAR — HFMA) or Certified Revenue Cycle Specialist — Institutional (CRCS-I — AAHAM) certification required, and must be retained throughout employment
  • Demonstrated ability to produce accurate Medicare, Medicaid, and commercial payer claims that yield substantiated reimbursement
  • Proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint); strong basic computer and math skills
  • Strong organization, problem-solving, and time-management skills; ability to work independently in a collaborative environment

What We Offer

  • Work-life balance
  • Recognition and rewards for professional expertise
  • Competitive, comprehensive benefit plans including health, disability, vacation, sick leave, and 403(b) retirement plan
  • Tuition remission at Howard University for you and/or eligible dependent children — up to two (2) courses per semester
  • A mission-driven environment rooted in over 150 years of excellence, service, and advocacy for the communities we serve

About Howard University Hospital

Howard University Hospital (HUH) is the nation’s only teaching hospital located on the campus of a historically Black university. With a legacy dating back to 1862 — when it operated as Freedmen’s Hospital, providing care and refuge to those who had been denied it elsewhere — HUH has grown into one of the most comprehensive healthcare facilities in the Washington, D.C. metropolitan area and is a designated DC Level 1 Trauma Center. Today, HUH continues its proud tradition of delivering exemplary, patient-centered, and culturally responsive care to the community, while providing exceptional learning and professional development opportunities for the next generation of healthcare professionals.

Position Details

Department Patient Accounts Reports To Manager, Patient Accounts FLSA Status Non-Exempt Bargaining Unit Local 2094 Schedule Full-Time | Monday – Friday, 8:00 AM – 4:30 PM

Pay & Schedule

This is a full-time, non-exempt position covered under the Local 2094 collective bargaining agreement. Pay range: $19.00 – $30.40/hr, commensurate with experience and qualifications.

Compliance Statements

Culture of Care: Howard University Hospital supports a Just Culture that promotes accountability, learning, and patient safety.

Equal Opportunity Employer: Howard University Hospital is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other status protected by applicable law.

Reasonable Accommodation: Howard University Hospital is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state and local laws. If you require an accommodation during the application or interview process, please contact the Human Resources Department at HUHLA@huhosp.org.

Pay Transparency: Salary ranges listed in job postings reflect the expected compensation range for the position and are provided in accordance with applicable pay transparency laws. Final compensation is determined based on experience, education, internal equity, and other relevant factors.

Disclaimer: The above statements describe the general nature and level of work performed. They are not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position.

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