Patient Account Representative

Harboroaks; Henderson (NV); On-site; USD 50,000 - 65,000; Full time

Job summary

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

The role requires strong attention to detail, experience with EOBs, and the ability to work with hospital billing systems. Primary duties include reviewing denials, resubmitting claims, and maintaining daily

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 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

Hospital billing

Accounts receivable

EOB analysis

Payment discrepancy resolution

Education

High school diploma or equivalent

Job description

Overview

Patient Account Representative

We are seeking a detail-orientedPatient Account Representativeto join our Business Office team.This roleis responsible formanaging insurance accounts receivable, following up on outstanding claims, resolving claim issues, and ensuringtimelyreimbursement from third-party payors.

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 interpretExplanation 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 leadershipregardingreimbursement and eligibility concerns.

Qualifications

Qualifications

• High school diploma or equivalent required.

• Minimum of3 years of hospital admissions, billing, collections, oraccountsreceivable experiencerequired.

• Ability toread, understand, and analyze Explanation of Benefits (EOBs)andidentifyclaim payment discrepancies.

• Strong attention to detail and problem-solving skills.

• Psychiatric or behavioral health experience preferred.

We are committed to providingequal employmentopportunitiestoall applicantsforemploymentregardlessofanindividual’scharacteristicsprotected byapplicable state,federalandlocallaws.