Hospital AR Claims Specialist

Erlanger Health System; Henderson (NV); Presencial; USD 42 000 - 64 000; Tempo integral

Resumo da oferta

Talentify in Henderson, NV is seeking a detail-oriented Patient Account Representative to join our Business Office team. This position handles insurance accounts receivable, follows up on outstanding claims, and resolves claim issues to ensure timely reimbursement from third-party payors.

The role involves reviewing and correcting denied claims, using clearinghouse systems, interpreting EOBs, and coordinating with Financial Counselors to address eligibility concerns.

Qualificações

• High school diploma or equivalent required.
• Minimum of 3 years of hospital admissions, billing, collections, or accounts receivable experience required.
• Ability to read, understand, and analyze Explanation of Benefits (EOBs) and identify claim payment discrepancies.
• Strong attention to detail and problem-solving skills.
• Psychiatric or behavioral health experience preferred.

Responsabilidades

• Follow up on outstanding insurance claims and resolve payment issues.
• Review, correct, and resubmit denied or rejected claims.
• Utilize claims clearinghouse systems to manage claim submissions and edits.
• Review and interpret Explanation of Benefits (EOBs) to ensure claims are processed and paid correctly.
• Complete account adjustments with supporting documentation.
• Maintain productivity standards of 30-40 accounts worked per day.
• Collaborate with Financial Counselors and Business Office leadership regarding reimbursement and eligibility concerns.

Conhecimentos

Attention to detail

Analytical thinking

Communication

Formação académica

High school diploma or equivalent

Ferramentas

Claims clearinghouse systems

Descrição da oferta de emprego

Talentify in Henderson, NV is seeking a detail-oriented Patient Account Representative to join our Business Office team. This position handles insurance accounts receivable, follows up on outstanding claims, and resolves claim issues to ensure timely reimbursement from third-party payors.

The role involves reviewing and correcting denied claims, using clearinghouse systems, interpreting EOBs, and coordinating with Financial Counselors to address eligibility concerns.