Patient Account Representative

Prime Healthcare; Ontario; On-site; CAD 30,000 - 60,000; Full time

Job summary

A leading healthcare provider is seeking a Patient Account Representative to manage payment processing and ensure accurate billing for patients. This entry-level position involves dealing with insurance companies and managing financial information while adhering to regulatory guidelines. The candidate will be a key contributor to the financial accuracy and customer service quality of the organization.

Benefits

401K retirement plan

Medical, dental, and vision coverage

Tuition reimbursement

Paid time off

Qualifications

• Multitasking and prioritization skills required.
• Familiarity with insurance and medical terminology preferred.
• Experience in accounts payable, receivable, or cashier roles is a plus.

Responsibilities

• Post incoming payments to patient accounts daily.
• Reconcile accounts and manage billing distribution.
• Analyze payments for optimal reimbursement based on regulations.

Skills

Analytical skills

Mathematical skills

Problem-solving skills

Customer Service experience

Effective communication

Education

High School Graduate or GED Equivalent

Job description

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Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

Responsibilities

The Patient Account Rep I is responsible for posting all incoming payments to correct patient accounts on a daily basis. Inputs and retrieves data from computer systems. Reconciles accounts daily. Applies payments to patient accounts accurately and efficiently. Distribution of all billing to appropriate personnel. Reviews and performs follow-up on all authorizations, and specialty referrals. Maintains a current knowledge of contracts and state Worker’s Compensation fee schedules. Responsible for the handling of incoming and outgoing mail pertaining to the hospital. Needs to have ability to recognize and correct mailing errors immediately. Always uses proper tact and discretion in handling inquiries from patients and their families. The Patient Account Rep I is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital’s receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate California and Federal regulations in order to assure compliance in payment practices. Responsible for posting all incoming payments to correct patient accounts on a daily basis. Inputs and retrieves data from computer systems. Reconciles accounts daily. Applies payments to patient accounts accurately and efficiently. Applies contractual adjustments to patient AR balances as needed. Manage and forward underpayments /denials to the appropriate departments for follow-up and further revenue collection as needed.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

• Ability to multi-task, prioritize needs to meet required timelines
• Analytical, mathematical and problem-solving skills required
• Customer Services experience required
• Effective written and verbal communication skills
• Experience in accounts payable, accounts receivable or cashier experience preferred
• Familiar with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology is preferred
• High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)
• Knowledge of basic understanding medical coding and third-party operating procedures and practices
• Knowledge of multiple insurance billing requirements and 6 mo.-1 year of billing experience required
• Medical and Insurance terminology essential
  
  

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $24.00. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Wellness and Fitness Services, Medical Practices, and Hospitals and Health Care

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