Patient Account Representative, Commercial Follow up

Company: PIH Health
Location: Los Angeles
Posted on: January 28, 2023

Job Description:

Job DescriptionPIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Hospital - Whittier, PIH Health Hospital - Downey and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, women's health, urgent care and emergency services. The organization is recognized by Watson Health as one of the nation's Top Hospitals, and College of Healthcare Information Management Executives (CHIME) as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. PIH Health is certified as a Great Place to Work TM. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.Works under the supervision of the Billing and Collection Supervisor. Analyzes and interprets Managed Care contract language, terms, conditions and responsibility matrices. Performs telephone and written follow-up with patients, insurance companies, third party payers, worker's compensation payers, medical groups, outside hospitals and physician's offices to ensure timely payments. Has a strong understanding of CMS regulations, Managed Care and insurance company payment principles, rules, and regulations. Is knowledgeable with the use of appropriate HCPCS, CPT 4 codes, Modifiers, ICD9 and ICD10 codes. Understands the billing and payment follow up time limits set forth by Medicare, payer contracts and has the knowledge of insurance billing rules and regulations. Has the ability to utilize multiple hospital systems. Performs other duties as needed.Required SkillsStrong verbal and written communication skillsCritical thinking skillsProblem solving skillsComputer skills Knowledgeable with payer contract language Knowledgeable with AB1455 regulations Required ExperiencePrevious experience working in an acute hospital patient account setting required. Minimum of 2 years experience in hospital collections required. Customer service experience. High school graduate. Associate's Degree or higher preferred. LA City Fire Card within 6 months of employment.Beyond the benefits that come with working for the area's leading community healthcare provider - one that also recognizes the need to ensure patient safety and comfort - you'll enjoy an extremely competitive compensation and benefits package. We are an equal opportunity employer and seek diversity in our workforce. EOE M/F/D/V

Keywords: PIH Health, Los Angeles , Patient Account Representative, Commercial Follow up, Other , Los Angeles, California