Patient Accounts Specialist: Payments & Reconciliations

Centinela Hospital Medical Center; Ontario (CA); On-site; USD 32,000 - 39,000; Full time

Benefits offered by this job

Paid time off

401K retirement plan

Medical, dental, and vision coverage

Tuition reimbursement

Job summary

Prime Healthcare is actively seeking a Patient Account Rep I to join our Ontario, CA team. The role focuses on posting incoming payments, reconciling accounts, and applying payments to patient accounts daily.

You will input data into hospital systems, review authorizations, and follow up on referrals and contracts to maximize reimbursement. Strong communication and billing knowledge are essential for success.

Qualifications

• Ability to multi-task and prioritize to meet timelines.
• Analytical, mathematical and problem-solving skills.
• Customer Services experience required.
• Effective written and verbal communication skills.
• Experience in accounts payable, accounts receivable or cashier role preferred.
• Familiar with commercial or government billing requirements and knowledge of insurance, coding and medical terminology preferred.
• High School Graduate or GED Equivalency Required.
• Knowledge of basic medical coding and third-party operations procedures and practices.
• Knowledge of multiple insurance billing requirements and 6 mo.-1 year of billing experience required.
• Medical and Insurance terminology essential.

Responsibilities

• Post all incoming payments to correct patient accounts daily.
• Input and retrieve data from computer systems.
• Reconcile accounts daily.
• Apply payments to patient accounts accurately and efficiently.
• Distribute billing to appropriate personnel.
• Review follow-up on authorizations and referrals.
• Maintain knowledge of contracts and workers’ compensation fee schedules.
• Handle incoming and outgoing hospital mail.
• Recognize and correct mailing errors promptly.
• Analyze payments from insurers to ensure maximum reimbursement.
• Ensure compliance with California and Federal regulations in payment practices.
• Post transactions and adjust patient AR balances as needed.
• Route underpayments/denials to the appropriate departments for follow-up.

Skills

Multi-tasking

Analytical skills

Problem solving

Customer service

Verbal and written communication

Education

High school diploma or GED

Medical terminology knowledge

Billing procedures familiarity

Accounts receivable experience

Insurance and coding knowledge

Job description

Prime Healthcare is actively seeking a Patient Account Rep I to join our Ontario, CA team. The role focuses on posting incoming payments, reconciling accounts, and applying payments to patient accounts daily.

You will input data into hospital systems, review authorizations, and follow up on referrals and contracts to maximize reimbursement. Strong communication and billing knowledge are essential for success.