Patient Account Rep
About The Position
The Patient Account Representative is responsible for working with insurance companies, state agencies, and patients or parents in resolving account balances. Will research insurance billing and adjustment identification to ensure proper account resolution. Must have knowledge of all aspects of insurance claim filing and collection regulations, and understand payer remittance documents as well as regulatory guidelines or contracts that result in a reduction of billed charges. The role relies on guidelines established by the department and organization to perform job functions and work under general supervision in a moderately fast-paced environment.
Requirements
- Minimum one (1) year of experience with billing and follow-up of Hospital / Physician claims.
- Knowledge of paper and electronic billing.
- High School Graduate/ GED or equivalent.
- Working knowledge with Medicare, Medi-Cal, CCS, Cal-Optima, Private, PPO and HMO.
- Knowledge of CPT and ICD-10 Coding.
- Understanding of payer contracts.
- Knowledge of computer systems and software used in functional area.
- Ability to prioritize and complete duties in a timely manner to accomplish both individual and team goals.
- Open to change and be able to problem solve.
- Ability to supply input and participate in team meetings.
- Strong attention to detail, vigilance, poise, and composure in stressful situations.
Nice To Haves
- Some college or specific course related study.
Responsibilities
- Resolving account balances by working with insurance companies, state agencies, and patients or parents.
- Researching insurance billing and adjustment identification to ensure proper account resolution.
- Applying knowledge of insurance claim filing and collection regulations.
- Understanding payer remittance documents and regulatory guidelines or contracts that result in a reduction of billed charges.
- Performing job functions according to departmental and organizational guidelines.
- Working under general supervision in a moderately fast-paced environment.
Benefits
- Highly competitive salary levels and benefits
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
