Self-Pay/Customer Service Patient Account Representative, Senior is responsible for all collections of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible. This position requires excellent customer service communication skills with both internal and external customers. This position takes ownership of their accounts and eliminates barriers to ensure timely and correct payment including involvement with payors and upper management, when necessary. This position will have working knowledge and understanding of commercial, government and self-pay collections including other complex payment methodologies to ensure prompt and accurate reimbursement. This position must be able to utilize and understand many complex and varying State and Federal statutes and regulations, guidelines and systems, and perform the account follow-up function with all payors and government agencies to obtain maximum and correct reimbursement of accounts receivables. This position proactively works with all payors and internal resources to identify and resolve issues that hinder account payment. Applies independent judgment and knowledge to audit commercial, government and self-pay accounts as it relates to payments, denials, appeals and billing issues.
Minimum 3 years’ experience and understanding of Self-Pay/Customer Service hospital collections processes required
Excellent interpersonal skills
Positive work ethics
Knowledge of medical terminology and coding, preferred
Written and verbal communication skills to meet productivity standards
Use of 10-key calculator by touch preferred
Microsoft Office and Outlook experience
High School diploma, GED equivalent, preferred
Business related courses, preferred
AA Degree or medical field certificate, preferred
Internal Number: MEM003314
Let us introduce ourselves. We're MemorialCare, a nonprofit health system that includes four hospitals, two medical groups, imaging centers, surgical centers and much more. As one of the leading health systems in Orange County and Los Angeles County, we're confident that no matter what your needs are, we have the teams, tools and know-how to support you every step of the way.