Patient Accounting Representative Part Time

Washington Hospital•Fremont, CA

46d•$35 - $43

About The Position

Under the direction of the Revenue Cycle Director, the Government and Commercial Billing Manager is responsible for managing the billing and follow-up of a variety of account types, including HMO, PPO, Workers’ Compensation, government payers, and self-pay accounts. This role also oversees document scanning and indexing, mail distribution, insurance eligibility verification, secondary billing, and front window coverage as needed. The incumbent reviews, verifies, obtains, and updates patient financial and insurance information to accurately determine financial responsibility for services provided at Washington Hospital. Based on this information, the role ensures all payer requirements, authorizations, and certification criteria are met to maximize timely and accurate reimbursement. Additional responsibilities include submitting insurance claims promptly, reviewing patient accounts to ensure payments and adjustments are processed accurately, monitoring outstanding accounts, processing refunds for overpayments, responding to billing inquiries, and securing payments or payment arrangements from insurance companies and patient guarantors. In addition to the essential functions outlined above, this position may be assigned other duties as needed.

Requirements

Experience in managing billing and follow-up for various account types (HMO, PPO, Workers’ Compensation, government payers, self-pay).
Experience in document scanning and indexing.
Experience in mail distribution.
Experience in insurance eligibility verification.
Experience in secondary billing.
Experience in front window coverage.
Ability to review, verify, obtain, and update patient financial and insurance information.
Knowledge of payer requirements, authorizations, and certification criteria.
Ability to submit insurance claims promptly.
Ability to review patient accounts for accurate payment and adjustment processing.
Ability to monitor outstanding accounts.
Ability to process refunds for overpayments.
Ability to respond to billing inquiries.
Ability to secure payments or payment arrangements from insurance companies and patient guarantors.

Responsibilities

Managing the billing and follow-up of a variety of account types, including HMO, PPO, Workers’ Compensation, government payers, and self-pay accounts.
Overseeing document scanning and indexing, mail distribution, insurance eligibility verification, secondary billing, and front window coverage as needed.
Reviewing, verifying, obtaining, and updating patient financial and insurance information to accurately determine financial responsibility for services provided at Washington Hospital.
Ensuring all payer requirements, authorizations, and certification criteria are met to maximize timely and accurate reimbursement.
Submitting insurance claims promptly.
Reviewing patient accounts to ensure payments and adjustments are processed accurately.
Monitoring outstanding accounts.
Processing refunds for overpayments.
Responding to billing inquiries.
Securing payments or payment arrangements from insurance companies and patient guarantors.