Patient Accounts Rep - Patient Financial Services - Full Time 8 Hours Day (7:00 AM to 3:30 PM)( Non-Union, Non Exempt)

University of Southern California

1d • $23 - $35

About The Position

Under the direction of the department manager, the Patient Account Representative is responsible for timely resolution of outstanding accounts due from third-party carriers and individual patients, as well as refunds. The work includes account analysis, telephone contact, written correspondence, arranging payments, and recommending accounts for write-off or agency assignment. The position is full-time, non-union, non-exempt, and scheduled for an 8-hour day from 7:00 AM to 3:30 PM.

Requirements

• Experience with insurance UB-04 billing regulations and electronic claims submission is desirable.

Nice To Haves

• Experience with Chart Maxx or other scanning systems.
• Experience with Quadra Med/Affinity or other patient accounting software.
• Two to three years of experience in a health care environment.
• Experience with insurance UB-04 billing regulations and electronic claims submission.

Responsibilities

• Complete inquiry forms accurately and completely to expedite account resolution.
• Correct errors promptly and accurately, and arrange for claims to be resubmitted when needed.
• Maintain professional commitment, a positive attitude, and constructive working relationships while supporting team unity.
• Handle incoming correspondence and returned mail in a timely manner.
• Identify late charges, obtain supporting documentation, update contractual adjustments, and arrange for corrected claims to be submitted to insurance carriers.
• Maintain accurate and complete notes in patient account records in the current computer system.
• Maintain productivity reports for assigned accounts and submit them to the Customer Service Manager weekly or as requested.
• Meet or exceed assigned productivity and monthly cash collection goals.
• Negotiate payment arrangements.
• Obtain completed charity applications and required documentation from patients applying for charity or the discount program.
• Obtain documentation from patients, insurance companies, or third-party intermediaries needed to resolve accounts according to hospital guidelines.
• Obtain approvals for adjustments according to procedure guidelines.
• Prepare refund requests and supporting documentation for credit balance resolution.
• Prepare requests for account write-off or agency referral after appropriate follow-up, and submit them for approval.
• Consistently reduce outstanding dollars and the number of accounts.
• Report collection and follow-up activities daily as requested by the Customer Service Manager.
• Resolve assigned accounts using the Accounts Receivable Summary Report and applicable collection work-list procedures.
• Understand and participate in the organization-wide Performance Improvement Program, including orientation, education, quality control, performance improvement, and quality planning activities.
• Screen patients for potential Medi-Cal coverage or charity write-off when payment arrangements cannot be negotiated.
• Send appropriate form letters when necessary.
• Submit adjustment transactions as required to maintain accurate patient account records in the computer system.
• Contact patients, guarantors, insurance companies, and third-party intermediaries by telephone to resolve account balances.
• Use the telephone as a primary tool for collection and follow-up activity.
• Verify the accuracy of insurance payments and patient responsibility stated in the Explanation of Benefits.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed