RCM Call Center Representative – Patient Accounts & Collections

This is a Full Remote job, available from anywhere.

The Call Center Representative – Patient Accounts & Collections is responsible for managing all aspects of patient accounts receivable (A/R) related to self-pay balances. This role handles inbound and outbound patient calls, collections, payment plans, refunds, and follow-up on clinic-identified balance inquiries. The representative reviews patient accounts within the Practice Management (PM) system, interprets Explanation of Benefits (EOBs), and applies knowledge of major payor policies to accurately explain balances and resolve patient concerns. The position plays a critical role in maintaining patient satisfaction while ensuring timely and compliant collections.

• Manage assigned patient A/R accounts, including follow-up on outstanding self-pay balances.
• Conduct inbound and outbound calls to patients regarding balances, statements, payment options, and account resolution.
• Collect payments via approved payment methods and accurately post transactions in the PM system.
• Set up, maintain, and monitor compliant payment plans according to organizational policy.
• Process and follow up on patient refunds as needed.
• Perform follow-up on clinic requests related to patient balances, billing questions, or account corrections.
• Review patient accounts in the PM system to ensure accuracy of charges, payments, adjustments, and insurance processing.
• Read and interpret EOBs to explain insurance processing and billing discrepancies.