Patient Access Representative

Patient Access Representative

Location: Pomona, CA (91767)

Duration: 13 Weeks

Shift: MondayFriday

Start Time: Between 7:00 AM 8:30 AM

End Time: Between 3:30 PM 5:00 PM (based on start time)

Key Responsibilities:

• 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

Required Skills & Knowledge:

• 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

Education Requirements:

• High School Diploma or GED required

Experience Requirements:

• 23 years of experience in hospital accounts receivable, medical billing, healthcare collections