Senior Patient Account Representative - Rancho Cordova, CA - Full-time / Part-time

Position Description:

Health
care isn't just changing.  It's growing more complex every day.  ICD10
replaces ICD9.  Affordable Care adds new challenges and financial
constraints.  Where does it all lead?   Hospitals and health care
organizations continue to adapt, and we are vital part of their
evolution.  And that's what fueled these exciting new opportunities.  

If
you're looking for a better place to use your passion, your ideas and
your desire to drive change, this is the place to be.  It's an
opportunity to do your life's best work. 
 
Welcome to one of
the toughest and most fulfilling ways to help people, including
yourself. We offer the latest tools, most intensive training program in
the industry and nearly limitless opportunities for advancement. Join us
and start doing your life's best work.

This position is
responsible for the clerical duties relating to the timely follow up and
reconciliation of accounts billed to Commercial, Managed Care insurance
companies and some Government programs. Typical duties include; review
accounts receivable aging report; trace and appeal unpaid and/ or
erroneously paid or denied accounts; work selected return billings for
reprocessing; verify and adjust accounts according to payer or program
specifications; appeals, refunds and performs other related duties as
assigned.
 
Primary Responsibilities:

• Contact customers to determine reason for payment delinquency
• Negotiate and advise on collection of overdue/ incorrect claims and take appropriate action to recover overdue payments
• Handle unresolved inquiries/ issues
• Responsible for adhering to  collection practices
• May work with outside legal counsel and/or outside agencies in more complex collection cases
• Some work is completed without established procedures.
• Basic tasks are completed without review by others.

As a Senior Patient Account Representative you will need knowledge of: 

• Hospital or patient accounting department functions, operations and procedures 
• Medical terminology, procedure and diagnosis coding sufficient to assess accuracy of patient accounts 
• Covered insurance benefits, billing requirements and procedures for third party payers and/or Government Programs
• Data elements for UB04/ 1500 and/or State of California Medi-cal Program
• Operation of on-line computerized patient accounting systems and/ or electronic billing systems
• Accounting practices and procedures common to accounts receivable
• General clerical office practices and procedures 
• Medical terminology
• HCPCS/ CPT and ICD9/ ICD10 Coding understanding
• Hospital and patient accounting department functions
• Insurance policies and their benefits
• Data processing input devices
• Accounts receivable practices and procedures
• General clerical office practices  
• Knowledge of payer contracts