Immediate need for a talented
Patient Account Representative. This is a
13 months contract opportunity with long-term potential and is located in
Pomona, CA (Onsite). Please review the job description below and contact me ASAP if you are interested.
Job ID:26-23454
Pay Range: $21 - $24/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:- Review accounts receivable aging reports and prioritize collection activities
- Follow up with insurance carriers regarding outstanding hospital claims
- Perform collections and follow-up for institutional (UB-04) facility claims
- Investigate, correct, and appeal denied or underpaid claims to maximize reimbursement
- Coordinate with billing and other internal departments to resolve claim discrepancies
- Accurately document all collection and follow-up activities in the billing system
- Verify patient insurance eligibility through payer websites, insurance portals, and customer service representatives
- Maintain compliance with HIPAA, organizational policies, and applicable state and federal regulations
Key Requirements and Technology Experience:- Key Skills; Experience with Hospital Accounts Receivable (AR)
- Experience with Healthcare/Medical Collections
- Experience with UB-04 (Institutional/Facility) Claims
- Experience with Inpatient & Outpatient Collections
- Experience with Insurance Follow-Up / Facility Claims
- 1-3 years of experience in hospital accounts receivable, medical collections, or healthcare collections
- Required experience with both inpatient and outpatient collections
- Experience handling UB-04 (Institutional/Facility) claims
- Experience collecting facility claims across multiple lines of business
- Working knowledge of hospital billing processes, CPT, ICD, and DRG reimbursement methodologies
- Familiarity with Medicare, Medicaid/Medi-Cal, and commercial insurance payer guidelines
- Strong communication and negotiation skills for interacting with insurance payers
- Proficiency with hospital billing/follow-up systems and Microsoft Office
- Excellent analytical skills with the ability to identify claim denials, payment variances, and reimbursement opportunities
- Strong attention to detail and organizational skills
- High School Diploma or GED required
Our client is a leading
Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
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