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
XXXX: XXXXXXXXXXX/hr
Shift Details:
Dress Code: Business Casual
Job Title: Patient Access Representative
Location: Pomona, CA (91767)
Duration: 13 Weeks
XXXX: XXXXXXXXXXX/hr
Shift Details:
- Day Shift: Monday - Friday (5x8 Hours)
- Timing: (7:00 am - 330 pm ; 730am - 400pm ; 800 am - 430pm ; 830 am - 5 pm)
- High School Diploma or GED Required
- 1-3 years in hospital accounts receivable, medical collections follow up, or healthcare collections.
- Collections for facility claims -all lines of business
- Knowledge of hospital billing processes, CPT/ICD codes, and DRG reimbursement.
- Familiarity with payer guidelines such as Medicare, Medi-cal and commercial payers
- Strong communication skills for payer interactions.
- Proficiency in hospital billing and follow up systems and Microsoft Office.
- Attention to detail and ability to analyze claim denials and payment variances.
- Review hospital accounts receivable aging reports and prioritize collection efforts.
- Contact insurance carriers to collect outstanding balances and resolve issues.
- Knowledge in follow up for institutional claims ( UB04)
- Investigate and appeal denied or underpaid claims to maximize reimbursement.
- Coordinate with other departments such as billing team to resolve discrepancies.
- Document all collection activities in the hospital's system
- Ensure compliance with HIPAA, hospital policies, and state/federal regulations.
- Obtaining Eligibility via website/insurance portals, insurance customer service
Dress Code: Business Casual
Vacancy posted 3 days ago
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