Patient Account Representative Customer Service, FT Days
Apply Now Hospital Name PIH Health Whittier Hospital Location Whittier, California Job Type Full-Time/Regular Job ID 24549-977Business Services:
Under the supervision of the Insurance Billing Manager, this position is responsible for the timely and accurate billing of Commercial, Senior Managed Care and Group insurance inpatient and outpatient accounts and secondary insurance. This includes the pre-billing, billing and electronic submission of hospital claims; identification and processing of appropriate write-offs, accurate use of HMO matrix to identify responsible payer, identification of stop loss claims and “carve out” items that are reimbursed at different rates.Ensures compliance to the payer’s contracted billing requirements. Coordinates with the Medicare and Medi-Cal team for any MSP issues, HMO acknowledgements or Medicare/Medi-Cal as secondary billing.Meet and exceed the minimum productivity volume, and standards of work as defined within the departmental policies and procedures.
Patient Account Representative Customer Service Non-certified:
Under the supervision of the Collections/Customer Service Manager, review unpaid hospital claims for patient accounts and use procedural guidelines to reduce the outstanding dollars on accounts receivable. Ensure incoming correspondence and inbound telephone calls are reviewed and answered in a timely manner. Accurately determine patient status, insurance coverage and billing information. Review accounts for write off to bad debt. Receive and update patient information.
PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Hospital - Whittier, PIH Health Hospital - Downey and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, women’s health, urgent care and emergency services. The organization is recognized by Watson Health as one of the nation’s Top Hospitals, and College of Healthcare Information Management Executives (CHIME) as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. PIH Health is certified as a Great Place to Work TM. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.
Required Skills
Business Services:
Demonstrated ability to use a 10-key adding machine, calculator, fax machine, photocopy machine keyboard for data entry and personal computer (PC).Ability to perform multiple tasks, good mathematical skills, sound decision making abilities and good verbal and written communication skills.
- Proficient in word processing and spreadsheet applications.
Patient Account Representative Customer Service Non-certified:
- Excellent verbal and written communication skills
- Proficient in Windows, Microsoft Word, Excel, and Mail Merge
- Minimum typing speed of 55 wpm.
- Excellent organizational skills.
- Can operate office equipment i.e., printer, fax, etc.
Required Experience
Patient Account Representative Customer Service Non-certified:
Required:
- Formal training will be indicated by a high school diploma or equivalent
- Two years previous clerical/secretarial experience
- Professional working manner with excellent phone etiquette and strong customer service orientation.
- Experience answering multi-line inbound calls
- Microsoft Word, Excel and Outlook proficiency.
Preferred:
- Medical terminology preferred
- Knowledge of AB774 and Fair Debt Collection Act.
Address
12401 Washington Blvd.
Salary
21.00-32.18
Shift
Days
Zip Code
90602