Patient Account Representative - Billing

University Medical Center of Southern Nevada; Las Vegas (NV); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Employer-paid pension

Competitive salary & benefits

Job summary

University Medical Center of Southern Nevada in Las Vegas seeks a skilled medical billing specialist to bill insurance companies, government agencies, and patients, and to manage follow-up on outstanding accounts.

The role requires expertise in Medicare inpatient billing, familiarity with Medicare Common Working File and DDE, and proficiency with Word, Excel, and EPIC.

This position supports accurate claims processing and timely collections within a leading nonprofit Level I trauma center.

Qualifications

• High school diploma or equivalent required with 2+ years of hospital/clinic billing experience.
• 2+ years of Medicare hospital billing and follow-up experience.
• Expert Medicare inpatient billing knowledge required.
• Experience with Medicare Common Working File and DDE (CMS systems).
• Proficiency in Word and Excel; EPIC experience preferred.
• Knowledge of CMS Medicare regulations.

Responsibilities

• Bill insurance companies, government agencies and patients.
• Follow-up on open accounts and resolve payment problems.
• Finalize accounts and issue adjustments as needed.

Skills

Medicare billing expertise

Accounts follow-up

Customer service

Problem resolution

Interpersonal skills

Education

High school diploma or equivalent

2+ years hospital billing experience

Tools

EPIC

MS Word

MS Excel

CMS guidelines

Job description

• EMPLOYER-PAID PENSION PLAN (NEVADA PERS)
• COMPETITIVE SALARY & BENEFITS PACKAGE

As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients.

UMC is home to Nevada's ONLY NonprofitLevel I Trauma Center, Verified Burn Center, and Multi-Organ Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and superiority in patient care.

Position Summary

Bills insurance companies, governmental agencies and individual patients; to follow-up on open accounts; to resolve payment problems; and to finalize accounts.

Education/Experience

Equivalent to high school graduation and two (2) years of hospital and/or physician clinic billing and/or follow-up experience.

• 2+ years experience with Medicare hospital billing and follow up
• Expertise in Medicare Inpatient hospital billing is a requirement.
• Experience in utilizing the Medicare Common Working File and the Medicare Fiscal Intermediary Standard System/DDE (Direct Data Entry) system.
• Experience and knowledge of CMS Medicare regulations and guidelines.
• Proficient in Microsoft Word and Excel
• 2+ years experience with EPIC

Knowledge of

• Office theories and principles
• medical terminology and procedures
• insurance plans, governmental agencies and other social services
• legal terminology and requirements
• alternative pay sources
• collection principles and techniques
• department and hospital safety practices and procedures
• patient rights
• infection control policies and practices
• handling, storage, use and disposal of hazardous materials
• department and hospital emergency response policies and procedures

Skill in

• Applying customer service techniques
• applying billing practices
• monitoring and tracking payments
• reviewing accounts and making corrections and adjustments
• resolving problems with accounts
• establishing effective payment arrangements
• performing basic mathematical computations
• preparing legal documentation such as notices, liens and subpoenas
• developing interpersonal relations with vendors, agencies and patients
• using computers and related software applications
• using office equipment such as phones, copiers, facsimiles and adding machines
• communicating effectively with a wide variety of people from diverse socio-economic and ethnic backgrounds
• establishing effective working relationships with all personnel contacted in the course of duties
• efficient, effective and safe use of equipment

Physical Requirements and Working Conditions

Mobility to work in a typical office setting and use standard office equipment; stamina to remain seated for long periods of time; vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.