Patient Account Representative

Erlanger Health System; Fort Wayne (IN); In loco; USD 42.000 - 62.000; Tempo pieno

Descrizione del lavoro

Erlanger Health System is seeking a detail-oriented Patient Account Representative to join the Business Office. You will manage insurance accounts receivable, follow up on outstanding claims, resolve issues, and help ensure timely reimbursement from third-party payors.

Responsibilities include following up on claims, correcting and resubmitting denials, reviewing EOBs, and coordinating with Financial Counselors to resolve eligibility concerns. Equal opportunity employer.

Competenze

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

Mansioni

• 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 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.

Conoscenze

Attention to detail

Problem solving

EOB analysis

Formazione

High school diploma or equivalent

Descrizione del lavoro

Overview

Patient Account Representative

We are seeking a detail-oriented 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.

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

• 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.