Patient Accounting Department

PATIENT ACCOUNTS REPRESENTATIVE – COMMERCIAL PAYERS & WORKER’S COMPENSATION

FLSA Status: Non-Exempt

Rate: $17.818- $23.378

PRINCIPAL JOB DUTIES:

  • Prepares accounts for billing to third party payers associated with commercial third party payers and Worker’s Compensation payers
  • Reviews remittance advice and prepares secondary insurance billing to all third party payers in a timely manner
  • Performs tasks as necessary to ensure the accurate, timely resolution of patient accounts in accordance with MCDH, State, and Federal established procedures
  • Assists patients and their representatives in a professional manner by providing accurate information and identifying problems needing resolution
  • Prepares client billings and manages associated receivables
  • Processes refunds in a timely manner
  • Accurately documents all patient account activity
  • Prepares late charge billing in a timely fashion, as required
  • Reviews and responds to remittance advice denials, short-pays, suspends, etc. in a timely manner
  • Performs other duties as assigned

QUALIFICATIONS:

  • High school graduate or equivalent
  • Two years prior experience in billing and collections in a hospital/facility setting
  • Two years prior experience in completion of UB04 and HCFA 1505 forms in accordance to commercial third party payers and the State of California’s Worker’s Compensation
  • Extensive knowledge of CPT, HCPCS, UB04 revenue coding, and modifiers; Critical Access Hospital preferred
  • Ability to work autonomously and as a team member by enhancing team effectiveness by supporting team members within the Business Office and the organization
  • Ability to accurately perform basic mathematical computations
  • Demonstrated ability to read, understand and follow instructions
  • Ability to effectively communicate verbally and in writing
  • Working knowledge of the use and applications of computers (preferably Microsoft Excel and Word)
  • Ability to operate computer 10-key pad by touch
  • Ability to communicate in Spanish highly desirable
  • Capable of performing position related physical requirements

REPORTS TO: Business Office Manager

Applications accepted until position is filled PCN 15

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