Patient Financial Services

Patient Financial Services Representative – PB WC/TPL Biller/Collector
Location: Fully Remote
Schedule: Full-Time, Monday–Friday
Available Shifts: 7:00 AM–3:30 PM, 7:30 AM–4:00 PM, or 8:00 AM–4:30 PM PST
Location: West Coast
Contract Length: 5 months
Start Date: ASAP
Pay Rate: $16–$17/hour
Position Overview
We are seeking an experienced Patient Financial Services Representative / PB WC/TPL Biller-Collector to support professional billing and revenue cycle operations for a healthcare organization.
This position will be responsible for the full lifecycle of Workers’ Compensation and Third-Party Liability professional billing accounts, including claim submission, insurance follow-up, denial resolution, collections, and accounts receivable management.
The ideal candidate has previous healthcare billing or insurance claims experience and understands payer requirements across Medicare, Medicaid, commercial insurance, Workers’ Compensation, and Third-Party Liability.
Key Responsibilities
Manage the full lifecycle of Workers’ Compensation and Third-Party Liability professional billing accounts.
Submit and follow up on initial, corrected, and reconsidered insurance claims.
Perform accurate and timely insurance billing in accordance with organizational policies, payer guidelines, and state and federal regulations.
Follow up with insurance companies regarding unpaid or outstanding claims.
Identify, research, and resolve claim denials, rejections, and underpayments.
Address issues related to timely filing, liability disputes, coordination of benefits, and payer requirements.
Work insurance accounts receivable to support timely reimbursement and reduce outstanding balances.
Prioritize and expedite high-dollar accounts to maximize revenue and prompt payment.
Review account documentation and claim information to identify billing or reimbursement issues.
Communicate with patients and customers by phone and email regarding account status, benefits, balances, and financial questions.
Document account activity and follow-up actions accurately within the EHR and billing systems.
Maintain compliance with applicable payer policies, Workers’ Compensation/TPL regulations, and healthcare billing requirements.
Required Qualifications
High school diploma or equivalent.
At least 1 year of experience in medical insurance claims processing, medical billing, collections, accounts receivable, or patient financial services.
Knowledge of Medicare, Medicaid, and commercial insurance requirements.
Experience or working knowledge of Workers’ Compensation and Third-Party Liability billing.
Knowledge of insurance claim processing, denial management, AR follow-up, and collections procedures.
Previous experience working within an EHR or healthcare billing system.
Strong analytical and problem-solving skills.
Strong customer service and communication skills.
Ability to work independently and manage accounts effectively in a fully remote environment.
Preferred Qualifications
Direct experience handling Workers’ Compensation and Third-Party Liability accounts.
EPIC experience.
Revenue cycle management experience.
Associate’s or Bachelor’s degree in Business Administration, Finance, Accounting, Healthcare, or a related field.

Work arrangement
Yes