Gracent
Healthcare
PatientAccountRepresentative
Neural analysis suggests this role is
optimal for Mid+ candidates.
“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.
Problem-solving skills; Critical thinking; Solution-oriented approach
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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