Patient Account Representative

Patient Account Representative

We are seeking a detail-oriented
Patient Account Representative
to join our Business Office team.

This roleis responsible for managing insurance accounts receivable, following up on outstanding claims, resolving claim issues, and ensuringtimelyreimbursement 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 leadershipregardingreimbursement and eligibility concerns.

Qualifications

• High school diploma or equivalent required.

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

• Ability to
  read, 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 providing equal employmentopportunitiestoall applicantsforemploymentregardlessofanindividual’scharacteristicsprotected by applicable state,federalandlocallaws.