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Eob Reviewer Jobs (NOW HIRING)

VieMed

Accounts Receivable Specialist

Lafayette, LA · On-site

$15.75 - $20.75/hr

Able to read through and understand medical EOB (explanation of benefits) * Communicates ... For further information, please review the Know Your Rights notice from the Department of Labor.

VIVA USA INC

Medical Billing Specialist

Lake Mary, FL · On-site

$16 - $20.50/hr

Associate will mainly be reviewing patient accounts, verifying balances, reviewing patient statements & EOB's and dealing with patient collections. RESPONSIBILITIES: Communicate with up to 50 ...

VieMed

Accounts Receivable Specialist

Dekalb, IL · On-site

$17/hr

Able to read through and understand medical EOB (explanation of benefits) * Communicates ... For further information, please review the Know Your Rights notice from the Department of Labor.

BAM Dental Group

Insurance Payment Poster

Marrero, LA · On-site

$15 - $19/hr

They interpret Explanation of Benefits (EOB) forms, apply adjustments, resolve discrepancies, and ... Review accounts for accuracy, verify electronic claim transmission, and report discrepancies to ...

BAM Dental Group

Insurance Payment Poster

Marrero, LA · On-site

They interpret Explanation of Benefits (EOB) forms, apply adjustments, resolve discrepancies, and ... Review accounts for accuracy, verify electronic claim transmission, and report discrepancies to ...

BAM Management Group

Insurance Payment Poster

Marrero, LA · On-site

$15 - $19/hr

They interpret Explanation of Benefits (EOB) forms, apply adjustments, resolve discrepancies, and ... Review accounts for accuracy, verify electronic claim transmission, and report discrepancies to ...

BAM Management Group

Insurance Payment Poster

Marrero, LA · On-site

$15 - $19/hr

They interpret Explanation of Benefits (EOB) forms, apply adjustments, resolve discrepancies, and ... Review accounts for accuracy, verify electronic claim transmission, and report discrepancies to ...

NORCAL Ambulance

Medical Billing Specialist

Sacramento, CA · On-site

$21.50 - $23.50/hr

Perform various collection actions including handling of correspondence, EOB review, prompt research and appeal of denied claims, if necessary. Assist and respond to insurance and patient telephone ...

Care Now

Clinical Denials Coding Review Specialist

Clinical Denials Coding Review Specialist Do you want to join an organization that invests in you ... Prior experience reading and interpreting Explanation of Benefits (EOB) required * Coding ...

New

FMOLHS

Financial Counselor Diffs

Baton Rouge, LA

$18.25 - $23.75/hr

Serves as billing office customer service support in assisting patients/guarantors and employees with billing inquiries; to include payer benefits, EOB review, collections and establishing payment ...

FMOLHS

Financial Counselor (Cancer Center)

Baton Rouge, LA

$18.25 - $23.75/hr

Serves as billing office customer service support in assisting patients/guarantors and employees with billing inquiries; to include payer benefits, EOB review, collections and establishing payment ...

BRIO CLINICAL, INC

Medical Biller

Ontario, CA · On-site

$22 - $23/hr

Maintain accurate claim notes and follow-up logs EOB Review / Negotiations / Claim Tracing * Analyze Explanation of Benefits (EOBs) for accuracy of payments, adjustments, and denials * Identify ...

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Eob Reviewer information

What are some typical challenges an EOB reviewer may face on the job?

EOB Reviewers often encounter the challenge of interpreting complex medical billing codes and resolving discrepancies between submitted claims and insurance payments. Staying updated with frequent changes in insurance policies and regulations requires ongoing learning and adaptability. Additionally, balancing a high volume of documents while maintaining accuracy and attention to detail can be demanding, but effective time management and clear communication with providers and insurers help mitigate these challenges. This rewarding role is well-suited for professionals who enjoy problem-solving in a dynamic healthcare environment.

What are the key skills and qualifications needed to thrive as an EOB reviewer?

To thrive as an EOB Reviewer, you need a strong understanding of medical billing, insurance claims processing, and Explanation of Benefits (EOB) documents, typically backed by experience in healthcare administration or medical billing. Familiarity with healthcare management software, billing platforms like Epic or Cerner, and knowledge of HIPAA regulations are commonly required. Attention to detail, strong organizational skills, and effective communication set standout candidates apart in this role. These competencies ensure accurate claim reviews, timely issue resolution, and effective collaboration with billing teams and insurance providers.

What is an EOB reviewer?

An EOB (Explanation of Benefits) Reviewer is responsible for analyzing medical insurance claims to ensure accuracy, compliance, and proper reimbursement. They review insurance company statements, verify billed amounts, and identify discrepancies or denials that need resolution. EOB Reviewers often work in healthcare billing, insurance, or medical administrative roles to help providers and patients understand claim outcomes. Their role is essential in maintaining financial accuracy and preventing claim processing errors.

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Eob Reviewer jobs near you
Infographic showing various Eob Reviewer job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 89% In-person, and 11% Remote job distribution.

Patient Account Specialist III - Santa Ana, CA

KPC GLOBAL MEDICAL CENTERS INC.

Santa Ana, CA • On-site

$31.75 - $38.19/hr

Other

Re-posted 23 days ago

Job description



SUMMARY

Performs third party billing and collection of accounts for non-governmental third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other non-governmental third-party payers. Duties include billing, collections, refunds, adjustments, EOB review, appeals, and denials. Acts as a lead in the department by assisting newly hired team members with answers to questions and stands in for supervisor in supervisor’s absence. Works on special complex high priority projects as assigned by management.

REQUIREMENTS

RESPONSIBILITIES AND DUTIES:

  • Responsible for ensuring timely submission of non-governmental claims in the billing editor. On a daily basis prepares and submits primary and secondary claims using the billing editor software to submit claims electronically or hardcopy, ensuring all edits are worked in a compliant manner based on directives given by management. Able to prepare and submit complex claims including split bills, interim bills, benefits exhaustion, etc.
  • Monitors billing editor for correct claim edits and reports findings to management for approval to make edit corrections. Submits bridge routines to billing vendor as necessary and approved by CBO management.
  • Shows proficiency in the ability to reconcile complex accounts, i.e. split payments, interim claims, benefits exhaustion, sequestration calculation, etc. Prepares and submit appeals as appropriate.
  • Performs account analysis, calculates and posts adjustments and write-off transactions to patient accounts receivable as appropriate with management approval.
  • Ensures all charge and coding related issues are clearly identified and entered in the HIM/Charge audit spreadsheet for clarification and resolution. Follows up to ensure timely response from others and ultimate resolutions.
  • Assists management with completing special AR projects as needed. Demonstrates the ability to complete the project with minimal management intervention. Partners with CBO management to prepare payer packets/spreadsheets of outstanding claims for meetings between CBO and payer representatives.
  • Provides training and education to CBO team members as requested by management. Acts as a Lead in the department by assisting newly hired team members with answers to questions and also assisting management as requested.
  • Identifies payer trends and reports to management providing input on appropriate steps to take. Provides account-level support as needed to AR vendors.
  • Maintains productivity levels within guidelines established by management. Receives an at or above team average productivity score
  • Documentation. Documents clearly and succinctly in account notes all action taken on account, i.e., phone call numbers, representatives spoken to, corrective action taken, referrals made and specific claim submission details as appropriate.
  • Performs duties with little or no errors. Remains at or above team average quality of work errors.
  • Other duties as assigned.

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About KPC Health

Sourced by ZipRecruiter

KPC Health has an integrated approach to serving the people of Riverside, San Bernardino and Orange County. Our acute care medical centers provide high quality, comprehensive and affordable healthcare for the entire family. For us, healthcare is not just about caring for our patients, but also about investing in the people throughout our communities. We are one team with one mission and that mission is for all our patients, and their families to Enjoy Life in Great Health.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Santa Ana, CA, US

Year founded

2004

Social media

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