Patient Access Representative
Pacer Group
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
Vacancy posted more than 2 months ago
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