PalmSpringsRecruiter Since 2001
the smart solution for Palm Springs jobs

Patient Account Representative - Patient Financial Services

Company: Eisenhower Medical Center
Location: Rancho Mirage
Posted on: May 6, 2021

Job Description:

  • Job Objective: A brief overview of the position.
  • Works under the direction of the Patient Financial Service Manager. Is engaged in activities relating to the collection of payment and/or resolution of self-pay balance accounts.
  • Reports to
  • Patient Financial Service Manager
  • Supervises
  • None
  • Ages of Patients
  • None
  • Blood Borne Pathogens
  • Minimal/ No Potential
  • Qualifications
  • Education
  • Preferred: Some college preferred
  • Licensure/Certification
  • None
  • Experience
  • Required: One year prior experience in a hospital setting or billing certification; Experience in a clinic, payer or collection agency setting may be substituted. Must have working knowledge of managed care, Medicare/Medi-Cal Billing regulations.
  • Essential Responsibilities
  • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
  • Manages new accounts, on a daily basis, by working within Receivables Workstation. Interfaces with other departments within the hospital, when appropriate, to obtain information necessary to process or resolve claims. Contacts patient and/or account guarantor to solicit payment on account.
  • Works all accounts listed in the Follow-Up cue, on a daily basis to promote collection of accounts. This will include telephoning the payer or identifying the claim on the payers' Internet websites.
  • Manages entire account inventory on a timely basis to promote payment and resolution of all accounts as instructed by management.
  • Responsible for staying current on all payer requirements by reading bulletins, reviewing provider handbooks, accessing websites, etc.
  • Process incoming correspondence, including signature letters, denials, prior authorizations and additional information necessary to process the claim.
  • Records newly identified insurance plans and facilitate the account processing of new plan in accordance with pre-billing policies and procedures.
  • Records accurate and definitive notes in the electronic account file that depict the current status of account, issues with account and anticipated date of resolution.
  • Escalates account management to Supervisor when extraordinary issues arise.
  • Assigns a status codes to each worked account to enable account tracking, statistical data gathering and audit activities.
  • Manages new credit balance accounts every day and prepares adjustments or refunds to zero the account balance.
  • Handle special projects as directed by management e.g. high dollar accounts, accounts over 180 days old, etc.
  • Performs other duties as assigned

Keywords: Eisenhower Medical Center, Palm Springs , Patient Account Representative - Patient Financial Services, Sales , Rancho Mirage, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Palm Springs RSS job feeds