Patient Financial Representative - AR/ Insurance

Baycare; Clearwater (FL); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, Dental, Vision Benefits

PTO

Job summary

BayCare seeks a Patient Financial Representative II to handle AR follow-up and insurance collections. The role focuses on timely reimbursement, denial resolution, and cash posting within a hybrid remote setup for Florida residents, with quarterly onsite team meetings.

Responsibilities include billing, customer service, EOB interpretation, and payer communication to resolve outstanding balances. Prior experience in healthcare AR is preferred.

Qualifications

• High school diploma or GED required.
• Minimum 1 year of customer service experience.
• Preferred: Accounts Receivable and insurance follow-up in healthcare.

Responsibilities

• Follow up on accounts receivable and insurance collections to ensure timely reimbursement.
• Review EOBs, resolve denials, and post payments.
• Respond to patient and payer inquiries and document activity in the system.
• Maintain billing guidelines and payer-specific rules.

Skills

Customer service

Accounts Receivable

Insurance follow-up

Communication skills

Attention to detail

Education

High School Diploma or GED

Tools

Payer portals

Medical terminology

Computer skills

Job description

Patient Financial Representative - AR/ Insurance - 169274

Clearwater:BayCare Sys Office East | Business and Administrative | Full Time

Description

Why BayCare?

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers, and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy built on a foundation of trust, dignity, respect, responsibility, and clinical excellence.

Position Details:

Patient Financial Representative II - Government Collections (Hybrid)

• Location: Remote (Florida residents only) with quarterly onsite team meetings
• Facility: BayCare Health System, CBO Govt Collection-BMGS
• Location: Remote (Florida residents only) with quarterly onsite team meetings
• Status: Full Time
• Exempt: No
• Shift Hours: Monday-Friday, 8:00 AM - 4:30 PM
• Shift: 1 (Days)
• On Call: No

Position Summary

The Patient Financial Representative II is responsible for performing a variety of patient accounting functions with a strong focus on accounts receivable follow-up, insurance collections, claim resolution, denial management, and cash posting activities. This role works to ensure timely reimbursement by reviewing outstanding accounts, resolving billing issues, and following up with insurance carriers and patients regarding claim status and outstanding balances.

Additional responsibilities include billing, collections, customer service, payment posting, and cash applications; documenting patient account activity; responding to customer billing inquiries; implementing billing guideline changes; identifying payer-specific trends; and applying federal and state guidelines to collection efforts. The Patient Financial Representative II also interprets and follows up on Explanation of Benefits (EOBs), reviews claims through payer portals, communicates with insurance providers and patients regarding billing and claims, researches and resolves denials, and performs other duties as assigned.

Required Qualifications

Education

• High School Diploma or GED Equivalent required

Experience

• Required: 1 year of customer service experience
• Preferred: Experience in Accounts Receivable, Insurance Follow-Up in Healthcare Setting

Certifications & Licensures

• None required

Other Requirements

• Interpersonal skills
• Ability to communicate clearly
• Organizational skills
• Professional etiquette, respect, and courtesy with others

Preferred Skills & Knowledge

• Administrative and clerical skills
• Organizational skills and attention to detail
• Knowledge of regulatory standards appropriate to the position
• Medical terminology knowledge and understanding
• Strong written and verbal communication skills
• Ability to work collaboratively within a team environment
• Computer skills appropriate to the position
• Experience with payer portals, insurance follow-up, claim resolution, denial management, EOB review, and cash posting
• Knowledge of Medicare, Medicaid, and commercial insurance reimbursement processes

BayCare Offers a Competitive Total Rewards Package, Including:

• Medical, Dental, and Vision Benefits
• Paid Time Off (PTO)
• Tuition Assistance
• 401(k) Match and Additional Annual Employer Contribution
• Annual Performance Appraisals and Team Award Bonus Opportunities
• Family Resources and Wellness Programs
• Community Perks and Employee Discounts
• Career Growth and Development Opportunities
• The opportunity to be part of an amazing team and a great place to work

Equal Opportunity Employer Veterans/Disabled