Patient Account Representative, Sr. at MEMORIAL HEALTH SERVICES in Fountain Valley, California

Job Description:

Patient Account Representative, Senior is responsible for all insurance collections of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible. This position takes ownership of their accounts and eliminates barriers to ensure timely and correct payment including involvement with payors upper management, when necessary. This position will have working knowledge and understanding of DOFRs, managed care contracts including other complex payment methodologies to ensure prompt and accurate reimbursement. This position must be able to utilize and understand many complex and varying State and Federal statutes and regulations, guidelines and systems, and perform the account follow-up function with managed care payers and government agencies to obtain maximum and correct reimbursement of accounts receivables. This position proactively works with all payors and internal resources to identify and resolve issues that hinder account payment. Applies independent judgment, research and knowledge to audit payor payments, denials, appeals and billing issues.

This position offers you the opportunity to work from home (WFH) after all training has been completed. Once completed you will need to be available to come into the office for additional training, meetings etc., as needed.Experience

• Minimum 3 years hospital business office experience, preferred
• Understanding of insurance collections processes including denial resolution and appeals, preferred
• Excellent interpersonal skills
• Positive work ethics
• Bi-lingual preferred
• Knowledge 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 and Outlook experience