Overview:
Patient Account Representative We are seeking a detail-oriented Patient Account Representative to 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:
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 of 3 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 providingequal employmentopportunitiestoall applicantsforemploymentregardlessofanindividual'scharacteristicsprotected byapplicable state, federalandlocallaws.
