Patient Account Representative/Physician Billing Specialist Hiring Now

PATIENT ACCOUNT REPRESENTATIVE/PHYSICIAN BILLING SPECIALIST

Job Title: Patient Account Representative / Physician Billing Specialist

Location: South County / Santa Clara County, CA (100% Onsite)

Compensation: $70,000 – $80,000 / year

Employment Type: Full-Time (Multiple Openings Available)

Position Summary

Option 1 Staffing is currently recruiting for a dedicated and detail-oriented Patient Account Representatives for full-time, onsite positions in South Santa Clara County. In this role, you will manage full-cycle physician and hospital billing, research and resolve claim denials, submit appeals, post payments, and interface directly with third-party payers and patients to ensure timely account resolution.

Key Responsibilities

• Denials Management & Appeals: Investigate denied claims, determine root causes, draft and submit formal insurance appeals, and follow up directly with payers to secure reimbursement.
• Claims Processing & Resolution: Scrub, bill, and process claims using hospital claims scrubber tools and billing systems; resolve claim edits and errors to prevent billing delays.
• Payment Posting & Cash Reconciliation: Post daily cash receipts and adjustments for hospital and professional billing; balance undistributed payments and perform routine cash reconciliations.
• Credit Balances & Refunds: Audit self-pay accounts with credit balances, verify accuracy, and process timely patient refunds.
• Payer & Patient Inquiries: Handle phone and written correspondence regarding billing questions, verify coverage and contractual terms, and process patient payments.

Qualifications

• Experience: Minimum 1 year of medical billing, claims follow-up, or patient accounting experience within a hospital, physician group, or healthcare facility setting.
• Insurance Knowledge: Solid understanding of claim follow-up, appeal writing, and regulations across Medicare, Medi-Cal, HMO, PPO, and commercial third-party payers.
• Technical Skills: Proficiency in Microsoft Office (Word, Excel, Outlook); hands-on experience with Epic or hospital billing/scrubber software is strongly preferred.
• Core Competencies: Strong critical thinking, problem-solving, and time-management skills with the ability to manage high-volume workflows accurately.
• Education: High school diploma or equivalent required.

For immediate consideration please send resume

Option 1 Staffing Services is an award-winning, privately owned staffing and recruitment firm that has been connecting top talent with leading employers across California for over 35 years. Specializing in non-clinical healthcare, administrative, finance, and technical placements, we provide personalized, high-touch support to match candidates with rewarding career opportunities. We pride ourselves on integrity, transparent communication, and long-standing partnerships that help professionals thrive in roles tailored to their skills and goals.