Sr. Patient Account Representative-Commercial and/or Managed Medi- Cal Collections

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  • 19-00298
  • Full Time/Contract
  • Recruiting
  • Fountain Valley, CA
Job Description
Position

Sr. Patient Account Representative-Commercial and/or Managed Medi- Cal Collections

Description

Managed Medi-cal and/or Commercial Patient Account Representative, Senior is responsible for all Managed Medi-cal billing and/or collections of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible. This position takes ownership of their accounts and eliminates barriers to ensure timely and correct payment including involvement with payors upper management, when necessary. This position will have working knowledge of Managed Medi-cal including other complex payment methodologies to ensure prompt and accurate reimbursement. This position must be able to utilize and understand many complex and varying Managed Medi-cal State and Federal statutes and regulations, guidelines and systems, and perform the billing and/or account follow-up function with all Managed Medi-cal government agencies to obtain maximum and correct reimbursement of accounts receivables. This position proactively works with all payors and internal resources to identify and resolve issues that hinder account payment. Applies independent judgment and knowledge to audit Managed Medi-cal payments, denials, appeals and billing issues.

Requirements

  • Minimum 3 years’ experience and understanding of Managed Medi-cal and/or Commercial hospital billing and collections processes required
  • Excellent interpersonal skills
  • Positive work ethic
  • Bi-lingual preferred
  • Knowledge of medical terminology and coding, preferred
  • Written and verbal communication skills to meet productivity standards
  • Use of 10-key calculator by touch preferred
  • Microsoft Office and Outlook experience

Compensation

$20.51- 25/ hr

Additional information

Monday- Friday 7am- 3:30pm or 7:30am- 4pm

Temp- Hire


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