Patient Account Representative/Customer Service, FT Days

The Customer Service Representative performs various routine and complex patient accounting tasks such as 

• Receive and resolve patient complaints regarding insurance billing, and initiate accurate account adjustments; follow all billing problems through to conclusion
• Answer all correspondence relating to billing questions; make appropriate financial arrangements
• Verify insurance status, eligibility and general account information
• Assist patients with courtesy billing and update insurance information as necessary
• Forward billing to appropriate carriers to ensure timely and accurate payment; demonstrate complete knowledge of all appropriate carriers
• Perform reconciliation of refund accounts; attach documentation and forward to bookkeeper to process refund checks; identify problems and follow through to conclusion
• Review credit statements for correct recipient of refund
• Perform other tasks as assigned

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 Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

Required Skills

• Knowledge of medical billing/collections practices and basic medical coding; computer data entry skills; ability to deal courteously with patients; bilingual in Spanish desired.

Required Experience

Required:

• High school diploma or equivalent or 3 years of experience in billing and collections.

Preferred:

• 5 years of experience in billing and collections.
• Certification, experience, or proficiency in EPIC Applications