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 patient accounts, ensuring accuracy in payments and compliance with regulations. The role requires strong analytical and customer service skills, with a focus on maximizing reimbursements. Competitive pay and benefits are offered, including paid time off and tuition reimbursement.

Benefits

Paid time off

401K

Health coverage

Tuition reimbursement

Qualifications

• 6 months to 1 year of billing experience preferred.
• Knowledge of billing requirements, insurance, coding, and medical terminology preferred.

Responsibilities

• Post all incoming payments to patient accounts daily.
• Analyze payments from insurance companies to ensure maximum reimbursement.
• Manage underpayments and denials for further revenue collection.

Skills

Analytical Skills

Problem Solving

Customer Service

Communication

Education

High School diploma or GED

Job description

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Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. It operates 45 hospitals and over 300 outpatient locations across 14 states, providing more than 2.6 million patient visits annually. With nearly 50,000 employees and physicians, it is one of the nation's leading health systems. Fourteen of its hospitals are part of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. The organization is actively seeking new members to join our corporate team.

Equal Opportunity Employment

Prime Healthcare is an equal employment opportunity employer. We prohibit discrimination or harassment based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information, or any other protected category by law. 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

• Post all incoming payments to patient accounts daily, ensuring accuracy.
• Input and retrieve data from computer systems; reconcile accounts daily.
• Apply payments and contractual adjustments accurately.
• Follow up on authorizations, referrals, and manage mail related to the hospital.
• Analyze payments from insurance companies to ensure maximum reimbursement.
• Work proactively with payers and internal teams to resolve payment issues.
• Ensure compliance with applicable regulations in payment practices.
• Manage underpayments and denials for further revenue collection.

Qualifications

• Ability to multi-task and prioritize effectively.
• Strong analytical, mathematical, and problem-solving skills.
• Customer service experience required.
• Excellent written and verbal communication skills.
• Experience in accounts payable, receivable, or cashier roles preferred.
• Knowledge of billing requirements, insurance, coding, and medical terminology preferred.
• High School diploma or GED required.
• Understanding of medical coding and third-party procedures.
• 6 months to 1 year of billing experience preferred.
• Knowledge of insurance terminology essential.

Prime Healthcare offers competitive pay and benefits, including a total rewards package with paid time off, 401K, health coverage, tuition reimbursement, and more. The estimated compensation range is $21.00 to $24.00 per hour, with the final offer based on experience and qualifications.

• Seniority level : Entry level
• Employment type : Full-time
• Job function : Healthcare Provider
• Industries : Wellness and Fitness Services, Medical Practices, Hospitals and Healthcare