Account Representative - USC Care MSO CBO - Full Time 8 Hour Days (Non-Exempt)(Non-Union)

University of Southern California; Pasadena (CA); On-site; USD 35,817 - 56,481; Full time

Job summary

USC Care Medical Group in Pasadena seeks an Account Representative to support the Consolidated Billing Office with data entry, research, and projects. You will collaborate with the billing team to ensure accurate documentation and efficient processes across payors and patients.

Responsibilities include auditing charge slips, applying CPT/ICD codes, generating reports, reconciling payments, and assisting with insurance eligibility.

Qualifications

• High school diploma or equivalent.
• 2–3 years' experience in medical billing, coding, or charge entry.
• Working knowledge of CPT, ICD-9-CM and ICD-10.
• Experience with computerized billing systems and office equipment.
• Knowledge of compliance, cost reimbursement, and insurance procedures.
• Ability to maintain confidentiality and solve problems.

Responsibilities

• Collects and audits patient charge slips and reports; obtains missing information.
• Assigns CPT-4 and ICD-9/ ICD-10 codes and enters charge data.
• Generates routine reports and reviews front-end claim edits.
• Reconciles payment batches and processes all forms of payments.
• Verifies insurance eligibility and assists with revenue-related projects.
• Maintains documentation and supports billing staff to resolve issues.

Skills

Medical billing

Data entry

Customer service

Attention to detail

Communication

Problem solving

Confidentiality

Teamwork

Multitasking

Education

High school diploma

Tools

Fax machine

Scanner

Photocopier

Billing software

Job description

The Account Representative provides administrative support to the Consolidated Billing Office (CBO). Provide support, data entry, research and projects in assigned unit. Work as a member of the billing team to provide smooth operational flow resulting in optimum customer (internal and external) satisfaction and effective/efficient processes. Ensures that all related documents are accurately sorted and separated to ensure the appropriate billing needs and processes are addressed according to a complex set of guidelines for each client and/or payor. This position may be If Assigned to Payment Posting: Prepare and reconcile payment batches, input payment data, review reports for accuracy, makes corrections as necessary. The Account Representative will maintain consistent productivity standards as appropriate for their unit as well as maintain an average of 90% (score of 9.0) or better on Quality Reviews

Departmental Specific Summary

Essential Duties

• Collects and audits patient charge slips and reports. Obtains missing information, such as charge slips, patient demographics and insurance information.
• Assigns CPT-4 and ICD-9CM codes to medical services and diagnoses. Enters charge data into billing system. Verifies the accuracy of data entered. Mails insurance claims and patient statements. Prepares attachments, such as Explanation of Benefits copies, for secondary billing.
• Generates routine computer reports and/or printouts.
• Review and correct minor claim errors identified in front-end claim editor. Makes charge corrections as requested by coders and collectors.
• Maintains files on all documentation such as charge slips, Explanations of benefits, and client or patient information. Prepares and distributes reports.
• Verify insurance eligibility for assigned clinics. Registers patients into data system as necessary. Assists the department with insurance related projects for revenue collections.
• Reviews missing charges as identified in data system. Contacts department or providers to obtain missing information to clear missing charge.
• Reviews Explanations of Benefits from third party payors to determine if payment was made correctly and if denials can be re-billed. Obtains missing information, such as charge slips, patient demographics and insurance information.
• Prepares and reconciles payment batches accurately. Corrects errors or problems. Inputs data into billing system. Monitors reports for accuracy. Processes all forms of payments, including cash, checks and credit cards. Enters payment data into billing system and adjusts financial class to process balance of invoice.
• Provides assistance and guidance to the billing staff in resolving payment-related issues. Notifies supervisor of ongoing problems
• Prepares deposits. Maintains files on all documentation such as charge slips, Explanations of benefits, and client or patient information. Prepares and distributes batch report.
• Performs other related duties as assigned or requested.

Required Qualifications:

• Req High school or equivalent
• Req 2 years 2 to 3 years' experience in medical billing, coding, charge entry.
• Req Working knowledge of CPT & ICD-9 and ICD-10.
• Req Experience with Computerized billing systems, Computer Peripheral Equipment, Fax, Personal Computer, Photocopier, and Scanning, and laws governing charging and collection efforts.
• Req Knowledge of compliance, cost reimbursement, and insurance negotiating procedures.
• Req Ability to maintain confidentiality of sensitive information. Ability to recognize, evaluate, solve problems, and correct errors.
• Req Ability to deal courteously with patients and the public.
• Req Skill in establishing and maintaining effective working relationships with medical/office staff, insurance, organizations and the public.
• Req Excellent verbal and written communication skills.
• Req Ability to multi-task in a fast paces environment, prioritize projects and work independently with attention to detail.
• Req Demonstrate a high level of professionalism, customer service and interpersonal skills and operate under strict confidentiality.

Preferred Qualifications:

• Pref Working knowledge of Medicare, Medi-Cal/Caid, HMO, PPO, Commercial and Private Pay preferred.

Required Licenses/Certifications:

• Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

USC Care Medical Group serves as the sole physician entity reporting to the USC Health System, uniting faculty clinical practice under Keck Medicine of USC. This entity oversees clinical governance, physician and ambulatory services, and core enterprise functions including billing, contracting, and financial operations. The organization encompasses 17 clinical departments, with approximately 1,500 physicians and 2,000 staff delivering care across more than 80 locations from Kern County to Orange County and into Las Vegas. USC Care Medical Group is the engine for patient-centered growth-advancing quality, safety, access, and financial strength through integrated, system-level thinking that transcends silos and traditional models. By building bridges across the enterprise, embracing innovation, and leveraging technology, we deliver seamless, 5-Star access and service while expanding clinical reach and diversified models of care. Our work fuels a sustainable cycle of good health-organizationally, financially, and within the communities we serve-driving continued growth from within and beyond the system's boundaries.

The hourly rate range for this position is $26.00 - $41.28. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.