Patient Account Representative

Talentify; Henderson (NV); On-site; USD 42,000 - 64,000; Full time

Job summary

Talentify in Henderson, NV is seeking a detail-oriented Patient Account Representative to join our Business Office team. This position handles insurance accounts receivable, follows up on outstanding claims, and resolves claim issues to ensure timely reimbursement from third-party payors.

The role involves reviewing and correcting denied claims, using clearinghouse systems, interpreting EOBs, and coordinating with Financial Counselors to address 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.

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

Analytical thinking

Communication

Education

High school diploma or equivalent

Tools

Claims clearinghouse systems

Job description

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.