Patient Account Representative

Acadia Healthcare; Henderson (NV); On-site; USD 48,000 - 58,000; Full time

Job summary

Acadia Healthcare is seeking a detail-oriented Patient Account Representative to join our Business Office team in Henderson, NV. You will manage insurance accounts receivable, follow up on outstanding claims, and resolve claim issues to ensure timely reimbursement from third-party payors.

Responsibilities include reviewing denied claims, utilizing clearinghouse systems, interpreting EOBs, and collaborating with counselors and leadership to address 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.
• 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

Claims review

Education

High school diploma or equivalent

Job description

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.