Customer Service Account Representative

Eisenhower HealthRancho Mirage, CA
$19 - $29Onsite

About The Position

Engaged in activities relating to the collection of payment and/or resolution of self-pay balance accounts.

Requirements

  • High school diploma, GED or higher level degree

Nice To Haves

  • Experience in a hospital and/or clinic setting
  • Self-pay or insurance billing/collection experience
  • Billing certification or course work
  • Ability to analyze data
  • Read and interpret financial reports
  • Able to develop and maintain interdepartmental relationships
  • Decision making skills
  • Knowledge of all phases of occupational therapy operations
  • Knowledge of regulations regarding various governing agencies (CAP, JCAHO, OSHA, CLIA)
  • Understands financial and productivity standards to ensure sound fiscal management is consistent with the goals of EMC
  • Written and verbal communication skills

Responsibilities

  • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
  • Manages new accounts, on a daily basis, by working within Receivables Workstation. Contacts patient and/or account guarantor to solicit payment on account.
  • Manages new credit balance accounts daily and prepares adjustments or refunds to zero the account balance.
  • Works all accounts listed in on the daily bad debt and bankruptcy list, on a daily basis to promote collection of accounts. This will include telephoning the payer or identifying the claim on the payers’ Internet location.
  • Manages entire account inventory on a timely basis to promote payment and resolution of all accounts prior to ninety days from date of billing.
  • Receives and reacts to incoming mail and telephone call from patients regarding assigned accounts.
  • Works with patients in regards to extended payment plans and/or financial assistance packages.
  • Records newly identified insurance plans and facilitate the account processing of new plan in accordance with pre-billing policies and procedures.
  • Records accurate and definitive notes in the electronic account file that depict the current status of account, issues with account and anticipated date of resolution.
  • Escalates account management to Customer Service Manager when extraordinary issues arise.
  • Obtains and records “Promise to Pay” amounts on a daily basis that are consistent with the cash collection goals of the department.
  • Performs other duties as assigned.
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