Patient Account Rep - Prof Billing- FT - Days - Billing and Collection @ MV jobs in United States
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El Camino Health · 18 hours ago

Patient Account Rep - Prof Billing- FT - Days - Billing and Collection @ MV

El Camino Health is committed to hiring and retaining top professionals dedicated to high-quality care. The Patient Account Representative is responsible for timely and accurate billing, resolving patient inquiries, following up on unpaid claims, and ensuring effective payment posting and credit balance resolution.

Health CareHospitalMedicalNon Profit
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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Ensures claims are billed timely and accurately using the Hospital Claims Scrubber Tool and billing system. Resolves claim edits
Collaborates with departments to resolve applicable claim errors
Reports all unbilled claim information and issues that may delay billing to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable
Receives and processes correspondence and phone or online inquiries from patients, payers or any other third party in a timely and professional manner
Resolves patient billing inquiries and processes patient payments over the phone or in person
Follows up on unpaid and denied claims for account resolution
Resolves accounts by contacting managed care entities, other third party payer organizations or patients to facilitate timely payments
Performs research and makes determination of appropriate actions for payment resolution. Writes and submits appeals for denied claims
Keeps informed of managed care and contractual arrangements to resolve accounts by managed care payers
Assigns root causes to denials based on research
Posts daily cash and adjustments for Hospital and Professional billing
Resolves undistributed payments and performs cash reconciliation
Reports all payment issues to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable
Resolves credit balances that are due to patients
Audits and reconciles accounts to confirm credit balance and submits refunds in a timely manner

Qualification

Medical billing knowledgeClaim processing experienceInsurance appeal writingMicrosoft Products proficiencyCustomer service experienceTyping skillsMulti-tasking abilityCommunication skillsOrganizational skillsProblem solving skillsTime managementAttention to detail

Required

High School Diploma or equivalent
One year related work experience in a Hospital, Physician, or other healthcare setting
Strong verbal and written communication skills
Works in a collaborative and team manner
Efficient organizational skills and effective reasoning, problem solving and critical thinking skills
Excellent typing skills
Ability to multi-task and demonstrate effective time management
Strong attention to detail
Ability to process a high volume of work

Preferred

Preferred knowledge and use of Microsoft Products: Outlook, Word & Excel
Knowledge of medical terminology and billing
Prior experience with facility billing or a similar role
Understands Medicare, Medi-Cal, HMO, PPO and 3rd party rules and regulations
Prior experience in a customer service setting
Preferred knowledge of health insurance coverages
Experience with claim processing and denial follow up and resolution
Knowledge of insurance appeal writing
Basic knowledge of contracting
Preferred cash and adjustment posting background with regards to quality control of payments and transactions to financial system
10-key preferred
Knowledge of basic accounting practices and procedures

Company

El Camino Health

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El Camino Health provides health care services.

H1B Sponsorship

El Camino Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (2)
2023 (2)
2022 (7)
2021 (1)
2020 (1)

Funding

Current Stage
Late Stage

Leadership Team

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Dan Woods
Chief Executive Officer
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Mark Klein
Chief Communications and Marketing Officer
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Company data provided by crunchbase