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Job description
Patient Financial Representative Senior (Onsite)
San Antonio, TX Contract-to-Hire | 3 Months Hospital Revenue Cycle | Billing & Collections
Sigma Inc. is seeking an experienced Patient Financial Representative Senior to join the revenue cycle team of a large hospital system in San Antonio, TX. This is an on-site, contract-to-hire opportunity offering long-term career potential within a collaborative healthcare environment.
Schedule
Monday – Friday
8-hour shifts
Key Responsibilities
As a Patient Financial Representative Senior, you will support the hospital revenue cycle by ensuring accurate billing, collections, cash reconciliation, and account resolution while maintaining compliance with payer and regulatory standards.
Revenue Cycle & Account Resolution
Resolve and reconcile outstanding patient account balances
Review and work claim edits and payer rejections for resubmission
Respond to patient and payer inquiries via phone, written, and electronic correspondence
Maintain payer-specific billing and follow-up guidelines
Identify trends impacting reimbursement, denials, and payment delays
Billing & Coding
Demonstrate strong knowledge of CPT, HCPCS, and ICD-10 coding
Work inpatient and outpatient claims using UB-04 and CMS-1500 (HCFA 1500) forms
Understand electronic claims editing and submission processes
Ensure compliance with payer, government, and organizational regulations
Collections
Collect balances due from payors to ensure proper reimbursement
Work daily collector queues and reports
Identify, document, and route denials for timely resolution
Resolve underpayments and credit balances within payer timelines
Cash Reconciliation
Post and reconcile payments accurately and timely
Research unapplied cash and resolve posting discrepancies
Perform daily and monthly reconciliation with bank statements
Process cash corrections and resolve payment inquiries
Communication & Compliance
Maintain professional written and verbal communication with internal and external stakeholders
Document all activities accurately within patient accounting systems
Support departmental quality standards and performance metrics
Uphold CHRISTUS Health values of dignity, integrity, compassion, excellence, and stewardship
Required Qualifications
High School Diploma or equivalent (post-secondary education preferred)
3–5 years of experience in:
Hospital business office or revenue cycle operations
Billing, collections, and account resolution
Strong understanding of:
Inpatient & outpatient billing
UB-04 and CMS-1500 claim forms
Insurance and self-pay billing guidelines
Excellent written and verbal communication skills
Ability to work independently and in a team-based environment
Preferred Qualifications
Multi-facility hospital experience
Insurance company claims experience
Healthcare billing trade school or college education
Familiarity with payer regulations and reimbursement methodologies
Worksite address
san antonio, TX, 78208, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.