Patient Account Specialist

College Medical Center; Long Beach (CA); On-site; USD 52,000 - 68,000; Full time

Job summary

College Medical Center Long Beach is seeking a Patient Account Specialist to handle billing and collections, ensuring timely claim submission, resolving non-payments, denials, and answering billing questions. You will review patient accounts, monitor aging, and work to maximize cash flow in a fast-paced hospital setting.

The ideal candidate has strong written and verbal communication, solid knowledge of UB-04, CPT, ICD-9, and insurance terminology, plus experience with MS Outlook and

Qualifications

• High School diploma or equivalent education.
• 3-5 years of Medical/Hospital Insurance collections experience.
• Strong written and verbal communication skills.
• Familiarity with UB-04, CPT, ICD-9 and EOB interpretation.
• Knowledge of aging reports and insurance terminology.
• Proficient with Windows-based billing software and MS Outlook.

Responsibilities

• Handle billing and collections for timely and accurate claim submission.
• Resolve non-payments, denials, and respond to billing questions.
• Review patient accounts and follow up on aging accounts.
• Maintain aging less than 90 days and maximize cash flow.
• Access payer websites, prepare manual re-bills and electronic submissions.
• Document collection activities accurately and thoroughly.
• Identify issues and provide suggestions for resolution.

Skills

Communication skills

Phone skills

UB-04 knowledge

EOB interpretation

CPT/ICD-9 knowledge

Aging reports

Windows-based systems

Education

High School diploma or equivalent

Tools

MS Outlook

Job description

College Medical Center Long Beach is proud to be part of College Hospitals. We are dedicated to the highest quality of customer services delivered with a with a sense of warmth friendliness and organizational pride. Become part of a team that provides a respectful environment, flexibility, a tight knit group and autonomy to utilize your knowledge and experience.

The Patient Account Specialist performs a variety of duties and responsibilities related to billing and collection for timely and accurate claim submission, resolution on non-payment of accounts, denials, addressing billing questions, reviewing patient accounts, and follow up. The Patient Account Specialist is expected to maintain the aging less than 90 days, maximize cash flow, be familiar with current regulatory requirements, electronic and hard copy billing, and UB04 billing formats.

QUALIFICATIONS/JOB DUTIES

• Good written and verbal communication skills
• Intermediate technical skills including PC and MS Outlook
• Intermediate knowledge of UB-04 and Explanation of Benefits (EOB) interpretation
• Intermediate knowledge of CPT and ICD-9 codes
• Intermediate knowledge of insurance collections and insurance terminology
• Working knowledge of aging reports.
• Computer experience with Window’s based programs.
• Heavy telephone skills.
• High School diploma or equivalent education.
• 3-5 years of experience in Medical/Hospital Insurance related collections
• Responsible for all aspects of follow up and collections, including making telephone calls, accessing payer websites.
• Identify issues or trending and provide suggestions for resolution.
• Accurately and thoroughly documents the pertinent collection activity performed.
• Review the account information and necessary system applications to determine the next appropriate work activity.
• Verify claims adjudication utilizing appropriate resources and applications.
• Initiate telephone or letter contact to patients to obtain additional information as needed.
• Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers.
• Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
• Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.

Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for CMC roles, including but not limited to shift differential and other special pay practices, etc. The posted compensation for the position is a reasonable estimate that extends from the lowest to the highest pay that CMC in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.

EEO Statement

All College Medical Centersubsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. College Medical Center subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.