Patient Account Representative - Credit & Collections FT Days

  • Torrance Memorial Medical Center
  • Torrance, CA, USA
  • Jun 07, 2021
Administration/Operations Assistant/Support

Job Description

Under general supervision, Patient Account Rep oversees collection of patient revenues, maximizing reimbursements, cash flow and maintaining low receivables, while also maintaining excellent customer relations. Core Competencies Reviews patient account documentation received from Admitting; identifies any missing information, corrects and follows-up with appropriate departments. Identifies and resolves problem issues independently. Reviews patient accounts and follow-up documents to determine the nature and extent of delinquency problems, and any actions taken by patients or third party payers; investigates delinquency cases to identify any special circumstances affecting payment delays Receives and answers inquiries from patients and insurance companies regarding charges and/or billing discrepancies. Reviews status of accounts receivable queues. Promotes positive customer relations. Utilizes hospital computer system to update, adjust, and process accurate patient accounts. Reviews status of work queues and prioritizes job functions to ensure timely follow-up on patient accounts. Verifies insurance eligibility and authorization as needed. Reviews patient account with credit balances. Makes corrections, if needed and or submits refund request when appropriate. Stays informed of updated insurance requirements and reimbursement practices. Assists with training of new staff members. Department Specific Competencies Coordinates work activities of Medi-Cal eligibility worker. Provides estimate of cost for hospital services. Education Degree Program High School Diploma/GED or Higher Education N/A Additional Information Experience Number of Years Experience Type of Experience 1 Biller/collection experience in medical office or hospital. Additional Information License / Certification Requirements