Patient Account Representative - Insurance Collections (Las Vegas)

WHAT IT TAKES TO BE PART OF OUR TEAM

Are you an exceptional Patient Account Representative who absolutely thrives on being part of an accountable team? Can you dedicate yourself to being part of a team serving the needs of children and their families? Do you bring the highest standards of integrity and professionalism to your team? Do you thrive in an environment where you are valued and appreciated for who you are, how hard you work and for that something special you bring to the teams you choose to work with? Are you looking for an organization that offers competitive compensation and one of the broadest and most comprehensive benefit packages available in the field of healthcare?

This is a role that requires a multi-disciplinary team approach to solving problems and patient challenges. "That's not my job" or "someone else can do it" is not in our team vocabulary because we are here to be of support to each other.  The primary goal is to bring the best patient care and experience for our area's children.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Responsible for contacting payers to collect insurance payments and resolve denied claims. This is a non-exempt hourly position that reports directly to the Revenue Cycle Manager.

a) Follow up and report status of insurance accounts based on the established Collection Queue Matrix. Document each collection action with clear notes to include current claim status, denial reasons, actions taken, and follow-up dates.
b) Perform various insurance collection activities including contacting payers, coordinating with the Medical Billers to correct and resubmit claims, and submitting medical records upon request.
c) Prepare and file claim appeals.
d) Review and correct rejected claims in Payerpath clearinghouse.
e) Submit secondary claims with the primary insurance Explanation of Benefits and medical records.
f) Identify and report denial and error trends through preparation and analysis of payer specific or other A/R analytical reports.
g) Submit Write-off and adjustment requests (WARs).
h) Investigate and submit Refund Requests (RR).
i) Participate in educational activities and attend staff meetings.
j) Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations.
k) Prepare payer specific or other claim denial analytic reports as directed by supervisor.
l) Perform other duties as directed.

Interested in Applying?

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