Patient Account Rep II

CommonSpirit Health; Rancho Cordova (CA); On-site; USD 42,000 - 56,000; Full time

Job summary

Dignity Health Medical Foundation, established in California, seeks a Patient Account Representative to support timely follow-up on patient billing issues and contribute to smooth billing operations. The role requires meticulous financial transaction handling and strong scheduling organizational skills.

Ideal candidates will have 3+ years in medical billing admin, ability to explain EOBs and benefits, and proficient use of MS Office.

Qualifications

• High School Diploma or GED is required.
• Minimum 3 years of admin and/or customer service in a medical billing office.
• Ability to read and explain EOB for HMO and FFS patients.
• Ability to explain benefits and co-pay information.

Responsibilities

• Respond to inquiries related to patient billing.
• Validate complex insurance information.
• Process credit card transactions from patients.
• Follow up with insurance carriers and staff for billing information.
• Resolve claim edits and process reports to ensure efficient billing.

Skills

Administrative support

Customer service

Medical billing

MS Office

Communication

Education

High School Diploma or GED

Tools

IDX

Job description

Job Summary and Responsibilities

As our Patient Account Representative, you will be responsible for providing timely and efficient follow-up to all parties necessary to resolve any issues related to patient billing, consistent with the mission and philosophy of Dignity Health Medical Foundation.

Every day you will contribute to the smooth operation of patient billing and scheduling.

To be successful in this role, you will demonstrate meticulous attention to detail in financial transactions, strong organizational skills for scheduling, and a commitment to accuracy and efficiency in patient account management.

• Respond to inquiries and correspondence related to patient billing concerns.
• Validate complex insurance information.
• Process credit card transactions received directly from patients through the credit card machine. This position may have access to third party credit card information and transactional systems (cash registers, point of sale devices, applications supporting credit card transactions, and reports or other documents containing credit card information) from single transactions or a single card at a time.
• Follow-up with insurance carriers and Dignity Health Medical Foundation staff for information essential for proper billing and collections.
• Resolve claim edits.
• Process reports as needed to ensure efficient billing.

Job Requirements

Required

• High School Diploma or GED
• Three (3) years minimum experience of administrative and/or customer service in a professional medical billing office
• Ability to read and explain an explanation of benefits (EOB) for HMO and FFS patients
• Ability to read and explain benefits and co-payment information
• Ability to communicate effectively during difficult situations
• Working knowledge of computers and demonstrated proficiency in using e-mail systems, Internet and MS office software applications

Preferred

• Six (6) months experience with IDX

Where You'll Work

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.