Patient Account Rep. I

Patient Account Rep. I

Title:Patient Account Rep. I

Location: Fountain Valley

Department:Patient Accounting

Status: Full-time

Shift: Days/Hybrid (8hr shift)

Pay Range: $20.75/hr - $29.47/hr

At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary

Patient Account Representative I is responsible for all billing and/or collections of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible. This position requires excellent customer service communication skills with both internal and external customers. This position takes ownership for their accounts and resolves all barriers within their capabilities and asks for assistance when needed. This position also requires basic knowledge of patient and insurance refund processes while ensuring prompt and precise review of each account. Ability to learn the appropriate California and federal statues and regulations in order to assure compliance in payment and collection practices.

Essential Job Outcomes

• Responds to patient and/or insurance inquiries timely, effectively, and according to policies and procedures.
• At all times, provides professional and exceptional customer service when interacting with internal and external customers.
• Documents all communications in the financial system and updates demographics ensuring accuracy and appropriate information to move the account towards payment.
• Meets productivity goals as set by Management.
• Reviews and processes patient and insurance company refunds in the financial system by insuring the refund amount is appropriate.
• Uses critical thinking skills to monitor and follow-up on claims to ensure correct hospital reimbursement.
• Demonstrates knowledge of hospital account management and collections skills.
• Demonstrates appropriate, aggressive telephone follow-up as necessary to expedite payment of billed charges.
• “Other duties as assigned”

Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Experience

• Minimum 1 year experience and understanding of Self-Pay/Customer Service hospital collections processes required
• Excellent interpersonal skills
• Positive work ethic
• Bi-lingual, preferred
• Basic understanding of medical terminology and coding, preferred
• Written and verbal communication skills to meet productivity standards
• Use of 10-key calculator by touch, preferred
• Microsoft Office experience

Education

• High School diploma, GED equivalent, preferred