Hospital Patient Accounts & Claims Specialist

Talentify; Covington (LA); On-site; USD 40,000 - 60,000; Full time

Job summary

Talentify is seeking a Collector/Patient Account Representative to join our hospital-based Business Office team in Covington, LA. The role focuses on managing insurance accounts receivable, following up on outstanding claims, and ensuring timely reimbursement from third-party payors.

The position requires analyzing EOBs, resolving claim issues, and maintaining productivity of 30-40 accounts per day, with collaboration across Financial Counselors and leadership to address reimbursement concerns.

Qualifications

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

Responsibilities

• 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.

Skills

Attention to detail

Read EOBs

Problem-solving

Education

High school diploma

Job description

Talentify is seeking a Collector/Patient Account Representative to join our hospital-based Business Office team in Covington, LA. The role focuses on managing insurance accounts receivable, following up on outstanding claims, and ensuring timely reimbursement from third-party payors.

The position requires analyzing EOBs, resolving claim issues, and maintaining productivity of 30-40 accounts per day, with collaboration across Financial Counselors and leadership to address reimbursement concerns.