Patient Account Representative - Denials and Appeals

Job Description:

Patient Account Representative - Denials and Appeals

Description

Position Summary

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.

We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.

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

Job Requirement

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

Additional and/or Preferred Position Requirements


• 2+ years’ experience with Insurance appeals for commercial, Medicare and Medicaid payers.
• Expertise in Payer Appeals and Disputes.
• Experience in utilizing the Medicare Common Working File, Medicaid EVS and payer websites.
• Understanding of Revenue Cycle.
• Proficient in Microsoft Word and Excel
• 2+ years experience with EPIC


The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package:

• Employer Paid Pension Plan through Nevada Public Employees' Retirement System "PERS"!https://www.nvpers.org/front
  • Vestingin the pension plan after 5 years of qualifying employment!
• Health/Dental/Vision Insurance - Less than $20 per paycheck for employee-only coverage
• Consolidated Annual Leave (CAL) - CAL is used for personal leave, holidays (eleven scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc.
• Extended Illness Bank (a/k/a Sick Bank)
• 457 Deferred Compensation Plan
• Comprehensive Group Health Insurance Plan
• Nevada has no State Income Tax
• No Social Security (FICA) Deduction

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.

We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.

THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER

Closing Date/Time: Continuous

Salary:

$17.99 - $27.88 Hourly