Patient Financial Services Representative

KPC GLOBAL MEDICAL CENTERS INC.•Santa Ana, CA
•$22 - $31•Onsite

About The Position

Under supervision, to admit and register patients, coordinate financial aspects of the patient’s hospitalization, cashiering, financial counseling, billing and collection of accounts; and to do other related work required.

Requirements

  • MINIMUM OF 6 MONTHS YEAR OF BILLING OR FOLLOW UP EXPERIENCE IN A HEALTHCARE SETTING, OR RELATED MEDICAL ENVIRONMENT REQUIRED.
  • Principles of computer control systems and modern office methods
  • Basic concepts of admitting, billing and collection language and procedures.
  • Fundamentals of key-disk data entry systems
  • PPO/HMO and commercial insurance benefits and billing requirements.
  • Principles of computer control systems and modern office methods
  • Basic concepts of billing and collection language and procedures.
  • Fair credit and collection practices.
  • Fundamentals of key-disk data entry systems.
  • AS 400 terminal use and operation.
  • Effectively communicate both orally and in writing to individuals and groups
  • Establish rapport with and maintain cooperative, productive working relationships with staff, volunteers, groups, and the community
  • Establish and maintain necessary records and controls prepare reports, charts and correspondence
  • Operate AS400 system, CRT, PC, Fax, photocopier and PBX
  • Obtain and record accurate information

Nice To Haves

  • COMPLETION OF HIGH SCHOOL OR EQUIVALENT.= PREFERRED

Responsibilities

  • Greets and accommodates patients in professionally courteous manner, and expedites communication to other hospital departments.
  • Performs on line computer registration and initiates creations of files with patient information entered into and discharged from computer in timely manner.
  • Responsible for asking for deposits, taking payments, explaining financial requirements to patient or responsible party and recording and reconciling financial transactions accurately.
  • Identifies and contacts primary and secondary insurance payers to obtain verification/authorization for service to patient at time of registration.
  • Prepares pre-admissions and admitting forms, prepares admitting and discharge and discharge reports.
  • Review hospital admissions to ensure accurate financial and biographical data and documentation have been obtained and properly entered into the hospital records
  • Obtains patient signatures on required documents; distributes copies of patient documents in a timely manner.
  • Maintains, demonstrates and is assessed on the knowledge and skills necessary to provide for the physical, psychosocial and cultural needs appropriate to the age of the patients served on his/her assigned unit.
  • Interprets and explains to patients and their family’s charges, services, and hospital policy regarding payment of bills.
  • Performs various clerical duties to expedite the billing process, including recording patient identification data, physician diagnosis, etc.
  • Answers all inquiries regarding patient accounts.
  • Researches all information to complete billing process.
  • Assumes responsibility for all accounts within one or more pay classes.
  • Follows up accounts until zero balance or turned over for collection.
  • Processes and distributes copies of billings as required.
  • Maintains required records, reports and files.
  • Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
  • Other duties as assigned
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