PFS Patient Account Rep

CHOC•Orange, CA

8d•$22 - $36•Onsite

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 aspect 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.
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.
High School Graduate/ GED or equivalent.
Strong attention to detail, vigilance, poise, and composure in stressful situations.

Nice To Haves

Some college or specific course related study.

Responsibilities

Working with insurance companies, state agencies, and patients or parents in resolving account balances.
Researching insurance billing and adjustment identification to ensure proper account resolution.
Understanding payer remittance documents as well as regulatory guidelines or contracts that result in a reduction of billed charges.
Prioritizing and completing duties in a timely manner to accomplish both individual and team goals.
Supplying input and participating in team meetings.
Problem solving.