Patient Account Representative - Hospital In Covina Has (3) Openings!

MAJOR DUTIES & RESPONSIBILITIES:

Hospital Billing and Collections a must for this role.

 Responsible for charge and payment entry within Electronic Health Record. Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication;

 Responsible for correcting, completing, and processing claims for all payer codes;

 Analyze and interpret that claims are accurately sent to insurance companies;

 Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports;

 Process appeals online or via paper submission;

 Assist in reconciling deposit and patient collections;

 Assist with billing audit related information, Procews refund requests;

 Communicate with billing and credentialing coordinator to identify and resolve audit review issues;

 Process billing calls and questions from patients and third party carriers;

 Answer/respond to correspondence related to Patient Accounts. Is available to answer billing and changes related inquiries by patients, staffs, Managed Care Organization, etc.;

 Communicate daily with internal and external customers via phone calls and written communications;

 Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor;

 Research, record findings, and communicates effectively with Manager to achieve optimum performance;