Patient Account Representative - Claims Follow Up/Collections

University Medical Center of Southern NevadaLas Vegas, NV
Onsite

About The Position

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 a Level I Trauma Center, home of the ONLY Verified Burn Center, and 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.

Requirements

  • Equivalent to high school graduation and two (2) years of hospital and/or physician clinic billing and/or follow-up experience.
  • Minimum of 2 years recent experience (within 3 years) of hospital claims and follow up experience.
  • Or a Minimum of 2 Years of Physician claims and follow up experience.
  • Current or Recent (within 3 years) commercial payer claims appeal experience
  • Minimum of 2 years of hospital /physician billing denials and appeal experience in account follow-up.
  • Minimum of 2 years of experience working with Managed Care payers and contracts.
  • Minimum of 2 years' experience in reconciliation of accounts including payments, adjustments, denials, and under pays.
  • Minimum of 2 years' experience in patient accounting software systems.
  • Proficient in Microsoft Excel.
  • Able to interpret manage care contracts and the ability to do discrepancy workups.
  • Proficient analytical skills to resolve complex claims.
  • Able to read explanation of benefits proficiently.
  • Must have good communication skills.
  • EPIC EHR experience
  • Proficient in scanning and understand the process of follow-up, and denials and appeals

Responsibilities

  • Bills insurance companies, governmental agencies and individual patients
  • Follows up on open accounts
  • Resolves payment problems
  • Finalizes accounts

Benefits

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