Patient Account Representative

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

Overview

Collector/Patient Account Representative

We are seeking a detail-oriented Collector/Patient Account Representative to join our Business Office team. This role is responsible for managing insurance accounts receivable, following up on outstanding claims, resolving claim issues, and ensuring timely reimbursement from third-party payors. This position is on-site at our hospital in Covington, Louisiana.

Responsibilities

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.

Qualifications

Qualifications

• 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.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.