Onsite Patient Account Representative $26/hr

7 days ago

Costa Mesa, United States Wollborg Michelson Recruiting Full time
Job DescriptionJob Description

Title - Collector I

Schedule: Monday - Friday 7:00am – 8:30 am and end 3:30 pm – 5:00pm

Pay: $26/hr

Onsite in Costa Mesa, CA

MUST BE VACCINATED

  • Serve as the account representative for well-known hospital, interacting with insurance companies, government payors, and patients to resolve payment and account issues.
  • Complete assigned accounts within designated work queues.
  • Maximize reimbursement by evaluating claims at contract rates using contract management tools (e.g., APC, DRG, APRDRG).
  • Initiate initial appeals for underpayments, ensuring adherence to timely requirements for reimbursement.
  • Review and handle payor and patient correspondence in a timely manner.
  • Escalate accounts that need appeals due to improper billing, coding, or underpayments.
  • Report new billing edits to supervisors for review and resolution.
  • Demonstrate a strong understanding of Revenue Cycle processes, including Patient Access and Patient Financial Services (billing & collections), as well as procedures and policies.
  • Possess thorough knowledge of managed care contracts, current payor rates, and understanding of terms, conditions, Federal, and State requirements.
  • Interpret Explanation of Benefits (EOBs) and Electronic Admittance Advices (ERAs) to ensure proper payment and assist patients and colleagues in understanding benefit plans.
  • Understand hospital billing form requirements (UB04) and be familiar with HCFA 1500 forms.
  • Have knowledge of various payors (HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California, capitation, commercial, and government payors) and their claims processing procedures.
  • Demonstrate knowledge of and effectively use patient accounting systems.
  • Document all calls and actions taken in appropriate systems.
  • Accurately code insurance plan codes.
  • Establish payment arrangements when patients are unable to pay in full at the time payment is due.
  • Review applicable cash rates, special rates, applicable professional and employee discounts.
  • Process bankruptcy and deceased patient accounts.

 

Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one’s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one’s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status. All applicants must also provide proof of COVID Vaccination when requested, except where prohibited by law.

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