PFS Patient Account Representative, Patient Accounting

Children's Hospital of Orange County (CHOC) • Irvine, CA

130d • $21 - $36

About The Position

The Patient Account Representative is responsible for working with insurance companies, state agencies, and patients or parents in resolving account balances. Will research insurance billing and adjustment identification to ensure proper account resolution. Must have knowledge of all aspect of insurance claim filing and collection regulations, and understand payer remittance documents as well as regulatory guidelines or contracts that result in a reduction of billed charges. The role relies on guidelines established by the department and organization to perform job functions and work under general supervision in a moderately fast paced environment.

Requirements

• Minimum one (1) year of experience with billing and follow-up of Hospital / Physician claims.
• Knowledge of paper and electronic billing.
• High School Graduate/ GED or equivalent.
• Working knowledge with Medicare, Medi-Cal, CCS, Cal-Optima, Private, PPO and HMO.
• Knowledge of CPT and ICD-10 Coding.

Nice To Haves

• Some college or specific course related study.
• Ability to prioritize and complete duties in a timely manner.
• Strong attention to detail and ability to problem solve.

Responsibilities

• Work with insurance companies, state agencies, and patients or parents to resolve account balances.
• Research insurance billing and adjustment identification for proper account resolution.
• Ensure knowledge of all aspects of insurance claim filing and collection regulations.
• Understand payer remittance documents and regulatory guidelines or contracts.
• Perform job functions under general supervision in a moderately fast paced environment.

Benefits

• Highly competitive salary levels.
• Career development programs.
• Opportunities for personal growth and fulfillment.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees