Patient Access Representative

Patient Access RepresentativeLocation: Pomona, CA (91767)Duration: 13 WeeksShift: Monday–FridayStart Time: Between 7:00 AM – 8:30 AMEnd Time: Between 3:30 PM – 5:00 PM (based on start time)Key Responsibilities:Review and manage hospital accounts receivable aging reportsPrioritize and execute collection effortsContact insurance carriers to resolve outstanding balancesInvestigate, analyze, and appeal denied or underpaid claimsMaximize reimbursement through effective follow-upsCoordinate with billing and internal departments to resolve discrepanciesDocument all collection activities accurately in the systemVerify patient eligibility via insurance portals and customer serviceEnsure compliance with HIPAA regulations, hospital policies, state and federal guidelinesRequired Skills & Knowledge:Strong understanding of hospital billing processes, CPT / ICD coding, DRG reimbursementFamiliarity with payer guidelines: Medicare, Medi-Cal, commercial insurance payersExperience with institutional claims (UB-04) follow-upProficiency in hospital billing systems, Microsoft Office SuiteStrong communication skills for interacting with insurance payersExcellent attention to detail and analytical skillsEducation Requirements:High School Diploma or GED requiredExperience Requirements:2–3 years of experience in hospital accounts receivable, medical billing, healthcare collections