Patient Account Specialist II

2 months ago


Anaheim, California, United States KPC GLOBAL MEDICAL CENTERS INC. Full time
Job Summary

We are seeking a highly skilled Patient Account Specialist II to join our team at KPC GLOBAL MEDICAL CENTERS INC. This role will be responsible for performing 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.

Key Responsibilities:

  • Collecting and appealing denied claims
  • Managing billing and adjustments
  • Reviewing Explanation of Benefits (EOBs)
  • Corresponding with payers and patients
  • Assisting new team members with onboarding
  • Working on special projects as assigned by management

Requirements:

  • High School Diploma or equivalent
  • Experience in a hospital setting, with a strong emphasis on managed care contract and appeals/underpayment collection activities
  • Knowledge of collection techniques and laws
  • Knowledge of medical terminology and CTP/HCPS codes
  • Strong analytical skills and proficiency with spreadsheets

What We Offer:

  • A dynamic and supportive work environment
  • Opportunities for professional growth and development
  • A competitive salary and benefits package


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