Patient Accounts Representative

Boston Children’s Hospital; Boston; In loco; PHP 1.791.000 - 2.731.000; Tempo pieno

Descrizione del lavoro

Boston Children’s Hospital is seeking a Patient Accounts Representative for a full-time position. The role involves managing patient accounts, verifying insurance information, submitting accurate claims, resolving billing issues, and maintaining timely communication with patients, families, payers, and internal departments.

Ideal candidates will have hospital-based billing experience, knowledge of CPT codes and payer processes, and the ability to collaborate with clinical teams to resolve

Competenze

• High school diploma or GED required.
• Experience in medical billing preferred.
• Ability to analyze and interpret routine account and billing information.
• Strong attention to detail and organization.
• Excellent written and verbal communication.

Mansioni

• Verify and update patient demographic, insurance, referral, and authorization information to ensure accurate account processing.
• Confirm insurance eligibility using payer websites, available technology, and communication with third-party payers.
• Prepare and submit accurate insurance claims within required timeframes.
• Review claims for accuracy, resolve billing errors, and address claim processing issues with payers.
• Work payer scrubber and denial reports to identify and resolve outstanding insurance claims.
• Research and prepare payer appeals and provide necessary documentation to support claim payment.
• Maintain clear and accurate account notes documenting all actions taken.
• Collaborate with clinical departments, physician offices, referral/authorization teams, and other internal partners to resolve account issues.
• Monitor trends related to denials, claim errors, and payer issues and elevate concerns as appropriate.
• Maintain a working knowledge of third-party payer contracts and hospital billing processes.
• Participate in process improvement initiatives and departmental projects.

Conoscenze

Detail oriented

Communication

Customer service

Team collaboration

Formazione

High school diploma or GED

Descrizione del lavoro

Open Full-time 20.63–31.46 USD per hour as stated in the posting

Open — Boston Children's Hospital has a posting for this job. Posted 16 Sep 2026.

Posted 16 Sep 2026 · Full-time · 20.63–31.46 USD per hour as stated in the posting

About this job

Job Posting Description

Position Summary
The Patient Accounts Representative provides positive and effective customer service that supports departmental and hospital operations. This role is responsible for managing patient accounts, verifying insurance information, submitting accurate claims, resolving billing issues, and ensuring timely communication with patients, families, payers, and internal departments. The Patient Accounts Representative works closely with physician offices, service sites, and ancillary departments to support accurate billing and account resolution.
Highly preferred candidates will have experience with hospital-based billing and collections, a strong understanding of payer processes, and knowledge of CPT codes and medical billing practices. Candidates with experience resolving insurance claims, working with payers, and supporting revenue cycle operations are strongly encouraged to apply.
Key Responsibilities

• Verify and update patient demographic, insurance, referral, and authorization information to ensure accurate account processing.
• Confirm insurance eligibility using payer websites, available technology, and communication with third-party payers.
• Prepare and submit accurate insurance claims within required timeframes.
• Review claims for accuracy, resolve billing errors, and address claim processing issues with payers.
• Work payer scrubber and denial reports to identify and resolve outstanding insurance claims.
• Research and prepare payer appeals and provide necessary documentation to support claim payment.
• Maintain clear and accurate account notes documenting all actions taken.
• Collaborate with clinical departments, physician offices, referral/authorization teams, and other internal partners to resolve account issues.
• Monitor trends related to denials, claim errors, and payer issues and elevate concerns as appropriate.
• Maintain a working knowledge of third-party payer contracts and hospital billing processes.
• Participate in process improvement initiatives and departmental projects.

Minimum Qualifications
Education:

• High school diploma or GED required.

Experience:

• Previous medical billing experience, preferably working with automated billing systems, is preferred

Knowledge, Skills, and Abilities:

• Strong attention to detail with excellent organizational skills.
• Ability to analyze and interpret routine account and billing information.
• Strong written and verbal communication skills with the ability to interact professionally with patients, families, hospital employees, and external partners.
• Ability to provide empathy and support when handling difficult patient or billing situations.
• Ability to work effectively with diverse internal and external teams.
• Strong computer skills and ability to accurately enter and retrieve information from automated systems.
• Ability to manage priorities and meet deadlines in a team-oriented environment.