Patient Account Representative, Commercial Follow up
Company: PIH Health
Location: Los Angeles
Posted on: January 28, 2023
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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
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