Patient Account Specialist

Kaweah Health Care District • Visalia, CA

365d • $23 - $35

About The Position

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do - in the health of our patients, our loved ones, and our community.

Requirements

• Preferred: High school diploma or equivalent.
• Required: Prior Patient Accounting or admissions experience. Comparable medical billing education may be considered.

Responsibilities

• Maintains complete and full knowledge of payer(s) assigned to ensure compliance of specific guidelines and rules.
• Is a resource to Finance division management regarding the assigned payer.
• Brings any reimbursement or compliance concerns to the attention of the Patient Accounting Manager.
• Utilizes computer systems and/or billing reports to review all patient registrations or admissions for demographic information, appropriate financial class, insurance company and plan, and charges.
• Audits unbilled reports for potential holdups of patient accounts.
• Completes billing process ensuring all charges are accurate and appropriate.
• Reviews and researches patient account credits and refunds as appropriate to patient and/or payer.
• Receives all correspondence and inquiries related to patient accounts and payer contract.
• Bills any secondary payers, changes financial classes accordingly, and sends appropriate collection system letter to patient.
• Reviews and works aging reports to identify unpaid patient accounts.
• Works to ensure that days in accounts receivable goals are met maintained and/or lowered.
• Answers phones as a back up to other departmental staff.
• Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
• Performs other duties as assigned.

Benefits

• Full-Time Benefit Eligible

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees