Patient Account & Reimbursement Specialist

West Anaheim Medical Center

Anaheim (CA)

On-site

USD 70,258,000 - 79,901,000

Full time

3 days ago

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Job summary

West Anaheim Medical Center, part of Prime Healthcare, is seeking a Patient Account Specialist to submit claims, ensure proper coding, and maintain compliance with payer guidelines and state/federal regulations. You will analyze payments from insurers to maximize reimbursement of the hospital's receivables, proactively resolve issues with payers, and guide teams in resolving unpaid accounts.

This role emphasizes accuracy, multitasking, effective communication, and a commitment to quality care

Qualifications

Previous Billing Experience within a hospital Business Office Required.
Previous experience with government programs and collections preferred.
Knowledge of medical terminology
Effective written and verbal communication skills
Ability to multi-task, prioritize needs to meet required timelines
Analytical and problem-solving skills
Customer Services experience required
High School Graduate or GED Equivalent Preferred.

Responsibilities

Submitting claims to the appropriate intermediaries and ensuring procedures and charges are coded in compliance with payer guidelines and state/federal regulations.
Analyze payments from insurance companies to assure maximum and correct reimbursement of hospital receivables.
Leads teams in the resolution of unpaid accounts and works with payers to identify and resolve issues.