Gracent

Healthcare

PatientAccountRepresentative

$0–0k Gracent FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“Patient Account Representative at Gracent. Skills: Billing, Collections, Accounts Receivable. Process insurance claims timely and appropriately. Resolve patient inquiries with focus on customer service”

What You'll Achieve.

Reduce aging of accounts

Industry & Context.

Healthcare
Problems you'll solve

Problem-solving skills; Critical thinking; Solution-oriented approach

Eligibility Requirements

Travel as needed, Attend job-related events

What They're Looking For.

Must Have

High school or GED required, Three years physician billing and collections experience required

What You'll Do.

Process insurance claims timely and appropriately

Resolve patient inquiries with focus on customer service

Follow up on accounts with payors/patients

Ensure authorization and eligibility verification is timely

Review account information and remittance advice

Verify proper reimbursement

Follow up on resolution of accounts with patients

Ensure proper processing with third party collections

Follow up with third party collections

Verify records include all information for Third Party

Consult with claims processors regarding disputes/denied claims

Follow up with patient families regarding outstanding payments

Support other billing

authorization and eligibility related team

Serve as partner to providers and billing teams

Ensure timely appropriate billing and collections

Demonstrate outstanding customer service skills

Work closely with providers

Respond timely to inquiries

Follow up on payments

Answer phone and email billing inquiries

Assist patients with understanding of their accounts

Support patients in coordinating payment

Review explanation of benefits (EOBs)

Ensure proper reimbursement of claims

or payer/patient trends

Determine appropriate action for account resolution

Follow up with payors

Follow up with offsite Billing vendor

Follow up with patient

Escalate trends to ensure timely payment

Confirm requirements and data needed for authorization approval

Obtain required information from service provider

Liaise with insurance companies for prior authorization approval

Assist in additional billing/authorization related requests/projects

Verify accurate authorizations

Verify accurate referrals

Confirm accurate eligibility information

Follow up with payors

providers and patients to

Collaborate with management to reduce aging of accounts

Assist patients needing treatment requiring insurance carrier pre-authorization

Work with patients and teammates with highest standards

How You'll Work.

Team & Collaboration

Partner to providers; Partner to billing teams; Work with patients; Work with teammates

Communication Scope

Verbal communication; Written communication

Full Job Description

At Gracent, helping children diagnosed with autism and other developmental needs is at the center of all we do. Our providers specialize in Applied Behavior Analysis (ABA), Physical Therapy, Speech Therapy, Occupational Therapy, Neuropsychology, and Mental Health services. We use evidence-based therapies, provide compassionate care, and pride ourselves on clinical excellence and innovation. The children we serve are at the center of what we do and are our #1 priority. About the Role: We are looking for a talented and driven Accounts Receivable Specialist to join our team. This position is primarily a full-time remote position Monday – Friday but will need to be willing to travel and attend job-related events in the Chicagoland area as needed. As part of our Billing team, you will help us impact the lives of our kiddos by helping ensure Insurance claims are processed timely and appropriately- resolving patient inquiries with a strong focus on customer service, following up on accounts with payors/patients and ensuring, authorization and eligibility verification is timely. You will review account information and remittance advice to verify proper reimbursement and follow up on resolution of accounts with patients and payors. You will work to ensure proper processing and following-up with third party collections, payors and patient families as needed. Verifying that records include all information required for Third Party reimbursement. Consult with claims processors at Third Party Payer companies regarding disputes/denied claims for bills not processed within allowed claim period and follow up with patient families regarding outstanding payments. You will support other billing, authorization and eligibility related team projects as needed and will serve as a partner to our providers and billing teams to ensure timely appropriate billing and collections. In this position, the Account Representative is expected to demonstrate outstanding customer service skills during e

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