Insurance A/R Specialist: Claims Resolution & Reimbursement

North Tampa Behavioral Health Hospital; Wesley Chapel (FL); On-site; USD 42,000 - 58,000; Full time

Job summary

North Tampa Behavioral Health Hospital in Wesley Chapel, FL is seeking a detail-oriented Patient Account Representative to join our Business Office. This role focuses on managing insurance accounts receivable, following up on outstanding claims, and ensuring timely reimbursement from third-party payors.

You will review denials, resubmit claims, interpret EOBs, and collaborate with Financial Counselors to resolve issues and improve cash flow.

Qualifications

• High school diploma or equivalent.
• 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.
• Strong attention to detail and problem-solving skills.
• 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

Problem solving

EOB analysis

Hospital billing

Education

High School Diploma

Tools

Claims clearinghouse systems

Job description

North Tampa Behavioral Health Hospital in Wesley Chapel, FL is seeking a detail-oriented Patient Account Representative to join our Business Office. This role focuses on managing insurance accounts receivable, following up on outstanding claims, and ensuring timely reimbursement from third-party payors.

You will review denials, resubmit claims, interpret EOBs, and collaborate with Financial Counselors to resolve issues and improve cash flow.