Patient Account Specialist I
1 week ago
Hybrid $3,000 Sign-on Bonus
Patient Account Specialist I (Hospital or Healthcare Exp Req)
Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other non-governmental third-party payers. Duties include collections, appeals, billing, adjustments, EOB review, correspondence and managing all types of denials. Assisting newly hired team members with answers to questions. Works on special complex high priority projects as assigned by management.
REQUIREMENTS
- Analyze Inpatient and outpatient accounts and resolve unpaid, Identify problem accounts and escalate as appropriate.
- Contacting payors, perform timely follow-up through direct phone calls, provider claims websites, correspondence, appeals, etc.
- Able to prepare and submit strong appeals that result in Revenue Recovery for all types of denials including contract underpayments, billing issues, payor error denials, etc.
- Maintains current knowledge of Payer policies and contract rates, able to resolve accounts with discrepancies from expected payment to ensure Payers are in payment compliance with their contracted terms that pertain to payment methodologies and reimbursement practices.
- Identify patterns, trends, and root-causes in collection workflow and Payer performance and repots the management providing input on appropriate steps/action to take. Provides account-level support as needed to AR vendors.
- Perform all necessary duties in the Patient Accounting Systems: Updating Insurance Plan Codes, Redistribute Revenue, Requesting Rebills, Updating Denial Module, Updating Status, etc.
- Updating account with proper documentation action taken to secure payment/Resolve account.
- Review EOB’s, remits and payer correspondence in the course of performing account follow-up and escalate any identified issues to the appropriate area for review and response to expedite claim resolution.
- Work with patients and guarantors resolve payer requests and discrepancies to promptly resolve pending claims
- Assists management with completing special AR projects as needed. Demonstrates the ability to complete the project with minimal management intervention. Partners with CBO management to prepare payer packets/spreadsheets of outstanding claims for meetings between CBO and payer representatives.
- Provides training and education to CBO team members as requested by management. Assisting newly hired team members with answers to questions.
- Meet or exceed daily productivity and quality standards established by management, remain at or above team average.
- Maintain Compliance and HIPAA standards at all times
- Perform other duties and functions as assigned
EDUCATION REQUIREMENTS:
- High School Diploma (Additional equivalent experience above the preferred minimum may substitute for the required level of education).
- Minimum of 2 year of collection experience within a hospital setting, with strong emphasis on managed caree contract and appeals/underpayment collection activities.
SKILLS & ABILITIES REQUIREMENTS
- Knowledge of collection techniques and collection laws (i.e. AB1455, Knox-Keene Act, Health & Safety Codes, etc.)
- Knowledge of medical terminology and CTP/HCPS codes
- Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliations.
- Demonstrated skill working in a team-oriented structure to achieve goals
- Persistent, ability to overcome objections, ability to remove barriers
- Effective written and verbal communication skills
- Strong listening skills, ability to follow written and/or verbal instructions
- Goal Oriented, and seeks to consistently meet aggressive daily, weekly, and monthly production and quality goals
- Strong analytical skills, proficient with spreadsheets
-
Patient Account Specialist II
1 week ago
Anaheim, United States KPC GLOBAL MEDICAL CENTERS INC. Full timeJob DescriptionJob DescriptionHybrid $3,000 Sign-on BonusPerforms account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other non-governmental...
-
Patient Account Specialist II
2 days ago
Anaheim, United States KPC GLOBAL MEDICAL CENTERS INC. Full timeJob DescriptionJob DescriptionHybrid $3,000 Sign-on BonusPerforms account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other non-governmental...
-
Patient Service Representative I
1 week ago
Anaheim, United States AltaMed Health Services Full timeOverview: The Patient Service Representative I is responsible for answering all incoming telephone calls for all the medical/dental offices. This position is primarily responsible for the scheduling, rescheduling and canceling of appointments. This positions responsibilities also include the screening and transferring of phone calls, answer patient...
-
Accounts Receivable Specialist
3 weeks ago
Anaheim, United States All County Environmental Full timeJob DescriptionJob DescriptionDepartment: AccountingReports to: Controller Job Summary:The Accounts Receivable Specialist will be responsible for invoicing, billing, and collection processing for insurance covered property restoration assignments. They will work closely with homeowners, insurance adjusters, and our internal team to ensure receipt of payment...
-
Project Accounting Billing Specialist
Found in: Talent US C2 - 1 week ago
Anaheim, United States Marquee Staffing Full timeProject Accountant / Billing SpecialistThis position is responsible for all aspects client billing cycle for certain projects and project management.100% OnsiteResponsibilities and Duties: Follow up with project managers for changes to contracts (Change Orders, etc.), time and expense entries and collection matters as needed. In-depth knowledge of billing...
-
Patient Service Representative
2 weeks ago
Anaheim, United States Physical Rehabilitation Network Full time** Patient Service Representative** ** California Rehabilitation & Sports Therapy - Anaheim, CA** **Tagged:** Medical Receptionist, Front Desk Receptionist, Receptionist, Patient Service Representative We are seeking an enthusiastic and versatile Patient Service Representative (PSR) to join our dynamic out-patient orthopedic clinic. We take pride in our...
-
Patient Care Representative
1 week ago
Anaheim, United States North American Staffing Group Full timeJob DescriptionJob DescriptionPatient Care Representative TempMedica Talent Group is excited to share this TEMP - HIRE opportunity with you! Our client, a well-known and reputable Healthcare Organization is seeking a Patient Care Representative to join their team in Anaheim, CA.Pay: $18hrSchedule - Monday to Friday - 8am - 5pmFor immediate consideration...
-
AR Specialist
2 days ago
Anaheim, United States Marquee Staffing - WFS Full timeJob DescriptionJob DescriptionAR Specialist Under minimal supervision the accounts receivable specialist will participate in the daily operations of the company’s accounts receivable collections cycle. The position requires the ability to operate in multiple capacities including collections, issue resolutions, and ensure completions of daily cash...
-
NuVasive Careers
Found in: beBee S US - 1 week ago
Anaheim, United States NuVasive Full timeJob Description: Responsible for assisting the cost accounting teams and systems. Responsible for transacting inventory movements between entities. Reconcile inventory between systems. Prepares journal entries. Collects data for cost setting. [ads1] Job Responsibilities: Transacts inventory movements between entities, including receiving, work order build...
-
Tax Relief Sales Specialist
1 week ago
Anaheim, United States LeadAdvisors Full timeWe are seeking a Tax Relief Specialist to join our team in the Finance or Accounting department of our company. As a Tax Relief Specialist, you will be responsible for managing the process of resolving tax liabilities for our clients. You will work closely with clients to understand their tax issues and tax issues and develop customized solutions to help...
-
Payroll Specialist
1 week ago
Anaheim, United States RemX The Workforce Experts Full timeJob DescriptionJob DescriptionWe are seeking a Bilingual Payroll Specialist for our client this a Contract to Hire, On-Site Monday-Friday - Pay $26.00 to 30.00/hour DOE.Job Description: We are currently seeking a skilled Payroll Specialist with a minimum of 4 years of experience in payroll processing. The ideal candidate will be bilingual in English and...
-
Guest Experience Specialist
1 day ago
Anaheim, United States Marriott Full time**Additional Information** Pay: $25.00/hour, Overnight Premium: $1.00/hour, Full Time, Evening shifts, Overnight shifts **Job Number** 24074818 **Job Category** Rooms & Guest Services Operations **Location** Fairfield Anaheim Resort, 1460 South Harbor Boulevard, Anaheim, California, United States **Schedule** Full-Time **Located Remotely?** N **Relocation?**...
-
Payroll Specialist
1 week ago
Anaheim, United States RemX The Workforce Experts Full timeJob DescriptionJob DescriptionAn electric company in the Anaheim, CA area is seeking their next Payroll Specialist. Responsible for administrative support of day- to- day payroll operations. Maintaining payroll systems and processing paychecks according to schedule and in correct amount. Duties includeconsolidating timesheet information and entering data...
-
Associate Product Specialist
1 day ago
Anaheim, United States PMT Corporation Full timeFind Fulfillment in Work Every Day! We Offer Careers that Make a Difference. PMT Corporation, located in Chanhassen, Minnesota, is known for manufacturing and distributing high end, innovative products within the Orthopedic, Neurosurgery, and Plastic Surgery markets. Our workplace is a community of innovators who are passionate about creating an impact. We...
-
Student Account Specialist
Found in: Resume Library US A2 - 1 hour ago
Anaheim, California, United States American Career College Full timeChoose To Make A Difference: Performs collection efforts to delinquent student accounts for American Career College. Utilizes various communication methods to successfully get in touch with the students. Discusses repayment and settlement options on the outstanding balance owed. Creates retail installment contracts that are supportive to the student's...
-
Client Implementation Specialist
2 weeks ago
Anaheim, United States InfoSend Inc Full timeJob DescriptionJob DescriptionDescription:Job description***REMOTE POSITION ONLY IN: CA, AZ, TX, IL, FL, GA, UT, OR, MI and NV. OTHER STATES WILL NOT BE CONSIDERED***Get to Know UsInfoSend has been a trusted provider of cutting-edge eBilling, ePayment, Data Processing, BillPrint & Mail services since 1996. Our services are designed to help organizations...
-
Territory Merchandising Specialist-Grocery
1 week ago
Anaheim, United States Recruiter Relentless Full timeJob DescriptionJob DescriptionExciting opportunity to work for Relentless Trade Solutions with New and Emerging Beverages and Foods, 100% on the road, merchandising grocery stores-join our family!! We are seeking "Relentless" Merchandising Specialists to service multiple grocery locations:Full Time$20-$22 an hourMust possess smartphone and reliable...
-
Sales Support Specialist
3 days ago
Anaheim, United States Penhall Company Full time**Penhall needs to hire multiple experienced Sales Support Representative in Anaheim, CA. Are you motivated to be part of a progressive company? Then this is the job for you. See below for more details about the opening**: **Job Title**: Sales Support Representative **Salary**: $24.00 - $28.85 depending on experience **Shift**: 7:30am - 4:30pm or 8:00am -...
-
Freight Broker Logistics Support Specialist
2 weeks ago
Anaheim, United States J & G Transportation Services Full timeJob DescriptionJob DescriptionWe are an established 35-year Freight Broker Company, seeking a service-minded Logistics Customer Support Specialist to assist as a liaison between our customers and freight carriers. The Specialist will secure new accounts, expedite the sharing of information and documentation between customers and carriers, and communicate...
-
Donor Relations Specialist
3 days ago
Anaheim, United States Planned Parenthood of Orange and San Bernardino Counties Full timeAdditional Comp Info: Salary based on experience. Overview: Planned Parenthood of Orange and San Bernardino Counties has a** full-time opportunity for a **Donor Relations Specialist - Event Focus** in Anaheim, CA.** The Donor Relations Specialist is responsible for supporting all fundraising and development activities within the Development Department,...