Patient Account Representative - Claims Follow Up/ ...

Salary: $18.42 - $28.55 Hourly Location : Las Vegas, NV Job Type: Full Time Job Number: 26_PARB_Q1(1) Department: PT ACCOUNTING - 8530 Opening Date: 02/03/2026 Closing Date: Continuous 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. UMC is home to Nevada's ONLY Level I Trauma Center, 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. 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 Position RequirementsMinimum 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 Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: Office theories and principles; medical terminology and procedures; insurance plans, governmental agencies and other social services; legal terminology and requirements; alternative pay sources; collection principles and techniques; department and hospital safety practices and procedures; patient rights; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures. Skill in: Applying customer service techniques; applying billing practices; monitoring and tracking payments; reviewing accounts and making corrections and adjustments; resolving problems with accounts; establishing effective payment arrangements; performing basic mathematical computations; preparing legal documentation such as notices, liens and subpoenas; developing interpersonal relations with vendors, agencies and patients; using computers and related software applications; using office equipment such as phones, copiers, facsimiles and adding machines; communicating effectively with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment. Physical Requirements and Working Conditions: Mobility to work in a typical office setting and use standard office equipment; stamina to remain seated for long periods of time; vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification. The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package: Employer Paid Pension Plan through Nevada Public Employees' Retirement System "PERS"! Vesting in 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 (twelve 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 01 I understand that I must FULLY complete the application including my education and work experience and that all answers to the experience questions below must be supported by documented work history. Incomplete applications or applications missing relevant work history information (including current UMC employment if applicable) will not be considered. Yes No 02 Do you have a high school diploma or GED? Please note that you will be required to provide original high school diploma or GED. Yes No 03 Do you have a minimum of two (2) years of hospital and/or physician clinic billing and/or follow-up experience? Yes No 04 Please check off any or all that best describe your qualificaitons? Minimum of 2 years of hospital 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. Able to interpret manage care contracts and the ability to do discrepancy work-ups. EPIC EHR experience Proficient in scanning and understand the process of follow-up, and denials and appeals 05 Please detail your experience with Hospital Billing and Account Follow-up, including your experience with denials and appeals. Be sure to include the employers where you gained this experience and ensure it is included in your work history. 06 Please detail your experience with Managed Care Contracts. 07 Please describe your experience utilizing EPIC. 08 This position is an onsite position and will require residing within Clark County. If offered the position, are you willing to relocate and be onsite for this position? Yes No N/A, I already reside in Clark County, Nevada and am okay with working onsite. 09 I understand that my answers to the supplemental questions alone will not qualify me for the position. I must document those experience, level of education, and certifications clearly in the application in order to be qualified. Yes, I understand and will include those experience, level of education, and certifications clearly in the application. Required Question

Created: 2026-03-04