Patient Access Representative
Pacer Group
Below mentioned is the job description for your reference:
Job title: Patient Access Representative
Location: Pomona, CA (91767)
Duration: 13 Weeks
Shift: Monday-Friday
Job title: Patient Access Representative
Location: Pomona, CA (91767)
Duration: 13 Weeks
Shift: Monday-Friday
- Start Time: Between 7:00 AM - 8:30 AM
- End Time: Between 3:30 PM - 5:00 PM (based on start time)
- Review and manage hospital accounts receivable aging reports
- Prioritize and execute collection efforts
- Contact insurance carriers to resolve outstanding balances
- Investigate, analyze, and appeal denied or underpaid claims
- Maximize reimbursement through effective follow-ups
- Coordinate with billing and internal departments to resolve discrepancies
- Document all collection activities accurately in the system
- Verify patient eligibility via insurance portals and customer service
- Ensure compliance with:
- HIPAA regulations
- Hospital policies
- State and federal guidelines
- Strong understanding of:
- Hospital billing processes
- CPT / ICD coding
- DRG reimbursement
- Familiarity with payer guidelines:
- Medicare
- Medi-Cal
- Commercial insurance payers
- Experience with institutional claims (UB-04) follow-up
- Proficiency in:
- Hospital billing systems
- Microsoft Office Suite
- Strong communication skills for interacting with insurance payers
- Excellent attention to detail and analytical skills
- High School Diploma or GED required
- 2-3 years of experience in:
- Hospital Accounts Receivable
- Medical Billing
- Healthcare Collections
- Business Casual (as per hospital policy)
Vacancy posted 2 days ago
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