USC Verdugo Hills Hospital ยท 1 month ago
Patient Accounts Representative - Patient Financial Services - Full Time Days (7:00AM to 3:30PM) (Non-Union, Non-Exempt)
ARH Arcadia Hospital
Full-time
Onsite
Entry Level
$21/hr - $24.37/hr
2+ years expUSC Verdugo Hills Hospital is seeking a Patient Accounts Representative to manage the timely resolution of outstanding accounts from third-party carriers and individual patients. The role involves account analysis, communication with patients and insurance companies, and ensuring compliance with hospital guidelines for financial arrangements.
Hospital & Health Care
Responsibilities
Attending seminars, as needed
Complete inquiry forms accurately and completely to expedite account resolution
Correct any errors promptly and accurately
Correct any errors promptly and have the claim resubmitted if needed
Displays professional commitment and supports the unit team by promoting unity and teamwork among coworkers by maintaining a positive attitude and positive working relationships
Handle incoming correspondence and returned mail on a timely basis
Identify late charges, obtain supporting documentation, update contractual adjustment on the account and have a corrected claim submitted to the insurance carrier in a timely manner
Maintain accurate and complete notes on the patient account note area within the current computer system
Maintain productivity report for accounts within assigned responsibility and submit to Customer Service Manager weekly or as requested
Meet or exceed productivity and monthly cash collection goals as assigned by Customer Service Manager
Negotiate payment arrangements
Obtain a completed charity application with all required documents from patients that apply for charity or our discount program
Obtain all necessary documentation from patient, insurance company, or third payer intermediary to ensure all accounts are being resolved according to established hospital guidelines
Obtain approvals per procedure guidelines for any adjustments
Prepare refund request and obtain supporting documentation for credit balance resolution per established guidelines
Prepare request form for account write-off or agency referral after appropriate follow-up activity has been performed and refer to Customer Service Manager or other assigned personnel for approval
Reduce outstanding dollars and number of accounts on a consistent basis
Report all collection and follow-up activities daily as requested by the Customer Service Manager
Resolve accounts within assigned responsibility per Account Receivables Summary Report using procedure guidelines (collection work list)
Responsible for understanding and participating in the organization-wide Performance Improvement Program through orientation, education, departmental and interdepartmental quality control, performance improvement, and quality planning activities
Screen patients for potential Medi-Cal coverage or charity write-off, if not able to negotiate payment arrangements
Send appropriate form letters when necessary
Submit transactions (adjustments) as required to maintain an accurate patient account record on the computer system
Telephone patient/guarantor, insurance company or third-party intermediary to resolve account balances
Use the telephone as a primary tool in effective collection/follow-up activity
Verify the accuracy of the insurance payments and patient responsibility as stated in the Explanation of Benefits (EOB)
Qualification
Preferred
Experience with Chart Maxx or other scanning systems is desirable
Experience with Quadra Med/Affinity or other patient accounting software is desirable
Experience of 2-3 years in a health care environment is preferred
Experience with Insurance (UB04) billing regulations; and electronic claims submission is desirable
Certified Patient Account Technician certificate desired but not mandatory
Company
USC Verdugo Hills Hospital
Our mission is to provide personalized, high-quality healthcare relevant to our patient community.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Tadren Kennedy, MPH, MBA, FACHE
Chief Operating Officer
Mary Virgallito
Chief Quality Officer
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