Account Representative

Account Representative — Denver, CO at National Jewish | Recrutus

About National Jewish Health

National Jewish Health is the leading respiratory hospital in the United States, recognized for excellence since opening its doors in 1899. With a focus on comprehensive care, academic advancement, and innovative research, the organization continues to shape the future of preventive and personalized medicine.

About the Role

As an Account Representative within the Patient Financial Services team, you will play a vital role in ensuring the financial health of our patients and the organization. Based on-site in Glendale, Colorado, this position is dedicated to the accurate processing of accounts receivable, consistent follow-up on outstanding claims, and providing strong service to both patients and payors.

You will serve as a bridge between complex financial systems and the people they serve. Your day will involve verifying appropriate reimbursement for services rendered, utilizing persuasive collection techniques, and resolving eligibility or insurance claim obstacles. Whether addressing moderately complex account matters, processing appeals for insurance denials, or communicating with patients to resolve account issues, you will apply sound judgment and a deep knowledge of medical reimbursement policies. This role is essential for maintaining the integrity of our patient financial services while upholding our commitment to patient advocacy and exceptional customer service.

Hiring Process

Candidates for this position should be approachable, knowledgeable, motivated, and able to problem-solve effectively. We are looking for individuals who demonstrate accountability, adaptability, and a strong drive for results. The interview process will assess your technical understanding of healthcare billing, your ability to handle complex account matters, and your fit within our collaborative team environment.

Our Culture & Values

At National Jewish Health, our faculty and staff are the essence of our organization. We promote a workplace culture based on mutual respect and merit, where all individuals are treated fairly and provided with equal opportunity to contribute to the mission and goals of the institution. We adhere to safe working practices and comply with all state, federal, and regulatory agency requirements.

Equal Opportunity Employer

National Jewish Health is an Equal Opportunity Employer. We consider qualified applicants regardless of background, race, color, religion, sex, national origin, age, disability, or veteran status.

Work location

Work model: On-site

Bldg 12, 4800, East Cherry Creek South Drive, Denver, Colorado, 80246, United States

Denver, Colorado

Key Responsibilities

check_circlePerform appeals of insurance denials and facilitate medical record documentation submissions
check_circleIdentify self-pay and potential bad debt accounts for referral to outside agencies or attorneys
check_circleRespond timely to account inquiry calls from patients or insurance companies
check_circleReport weekly productivity statistics and workload fluctuations to the PFS Supervisor
check_circleReview claims history, EOBs, and ERAs to address payment delays and incorrect payments
check_circleSupport patient accounts receivable through billing, claim follow-up, appeals, and account resolution
check_circleContact patients to elicit claims and resolve account inquiries with strong customer service
check_circleProcess refunds, payment transfers, and adjustments according to established PFS policies
check_circle

Requirements

verifiedHigh school graduate or equivalent
verified2 years recent healthcare experience
verified2 years hospital billing/collection/follow up experience (preferred)
verifiedSome college level coursework (preferred)

Nice to Have

Some college level course work. A minimum of two (2) years in hospital billing/collection/follow up, accounting and customer service environment.

Benefits & Perks

check_circleMultiple Cigna health plans with HSA and FSA optionscheck_circleGenerous PTO accruals, six paid holidays, and state sick leave compliancecheck_circleDental and vision plans effective the first of the month after hirecheck_circle403(b) retirement plan with employer contributions after two yearsWellness incentives of up to $200 annually for preventive health activities

Skills, education and keywords

Skills: Medical Terminology, Medicare, Medicaid, Workers Compensation, Managed Care, CPT, HCPCS, Icd-10, Hcfa, Ub04.

Education: High school graduate or equivalent required.

Frequently asked questions about Account Representative at National Jewish Health

What does a Account Representative at National Jewish Health do?expand_more

Day-to-day, the Account Representative at National Jewish Health will perform appeals of insurance denials and facilitate medical record documentation submissions; identify self-pay and potential bad debt accounts for referral to outside agencies or attorneys; respond timely to account inquiry calls from patients or insurance companies; and report weekly productivity statistics and workload fluctuations to the pfs supervisor.

What are the requirements for this Account Representative role?expand_more

National Jewish Health is looking for candidates who meet the following requirements: High school graduate or equivalent; 2 years recent healthcare experience; 2 years hospital billing/collection/follow up experience (preferred); and Some college level coursework (preferred).

Where is the Account Representative role at National Jewish Health located?expand_more

Account Representative at National Jewish Health is based in Bldg 12, 4800, East Cherry Creek South Drive, Denver, Colorado, 80246, United States. This is a on-site role.

Is this Account Representative job remote, hybrid, or on-site?expand_more

National Jewish Health has listed this Account Representative role as on-site.

How much experience is required for this Account Representative role?expand_more

Account Representative at National Jewish Health typically requires 2+ years of relevant experience at the mid level level.

What skills do you need for the Account Representative role at National Jewish Health?expand_more

Key skills for Account Representative at National Jewish Health include Medical Terminology; Medicare; Medicaid; Workers Compensation; Managed Care; CPT; HCPCS; and Icd-10.

What education is required for Account Representative at National Jewish Health?expand_more

Educational requirements for this role: High school graduate or equivalent required.

What category does the Account Representative role belong to?expand_more

Account Representative at National Jewish Health is part of the accounting & finance job category on Recrutus.