Patient Account Specialist
About The Position
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more information visit www.westanaheimmedctr.com. The Patient Account Specialist is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payer guidelines and state/federal regulations, when assigned. Under the supervision of the Director, the Patient Account Specialist is also responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital’s receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate regulations in order to assure compliance in payment practices. Leads teams in the resolution of unpaid accounts.
Requirements
- Previous Billing Experience within a hospital Business Office Required.
- Previous experience with government programs and collections preferred.
- Knowledge of medical terminology
- Effective written and verbal communication skills
- Ability to multi-task, prioritize needs to meet required timelines
- Analytical and problem-solving skills
- Customer Services experience required
- High School Graduate or GED Equivalent Preferred.
Nice To Haves
- Previous experience with government programs and collections preferred.
- High School Graduate or GED Equivalent Preferred.
Responsibilities
- Submitting claims to the appropriate intermediaries
- Insuring that procedures and charges are coded in compliance with all payer guidelines and state/federal regulations, when assigned
- Accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received
- Analyzing payments received from insurance companies to assure maximum and correct reimbursement of Hospital’s receivables
- Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment
- Utilizing and applying the appropriate regulations in order to assure compliance in payment practices
- Leads teams in the resolution of unpaid accounts
Benefits
- paid time off
- a 401K retirement plan
- medical, dental, and vision coverage
- tuition reimbursement
- many more voluntary benefit options
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
