Patient Accounts Representative

Full Job Description

This recruitment will establish an employment list to fill current and any future vacancies within the Health & Human Services Agency. The anticipated life of the employment list is six months.

If interested in employment for this position for current or future vacancies, please submit an online application for consideration.

Current vacancy is with the Health & Human Services Agency located in Visalia. The anticipated life of the list is six months.

Requirements

• Process health insurance and private pay billings on patient/client accounts.
• Review records of new patients to determine classifications of coverage to be billed such as private insurance, Medi-Cal, or Medicare.
• Verify billing codes, request additional documents verbally or in writing to process claims, resubmit claim rejections and denials for reconsideration of payment claims.
• Update patient data, review charges for accuracy completeness and obtain missing information for billing purposes.
• Call insurance companies regarding any discrepancy in payments, if necessary.

For a full list of duties for this position, please click here.

Qualifications

Minimum qualifications are used as a guide for establishing the education, training, experience, special skills and/or license which are required and equivalent to the following.

Education:

Experience:

• One (1) year of experience independently billing patient accounts OR three years of responsible experience in processing patient accounts including Medi-Cal, Medicare, and private pay.

Knowledge of:

• Basic medical terminology.
• Health insurance billing guidelines.
• Electronic billing systems.
• Standard office practices including filing and recordkeeping.
• Computer experience.
• Math sufficient to compute payment amounts and account balances.

Skill/Ability to:

• Work and communicate effectively with people of various education and socioeconomic backgrounds by respecting beliefs, interpersonal styles and behaviors of both clients and co-workers.
• Operate contemporary office equipment inclusive of computer, keyboard, and all applicable electronic equipment.
• Read and understand verbal and written procedures/instructions.
• Establish, maintain and foster positive and harmonious working relationships with those contacted in the course of work.
• Communicate clearly and concisely, both orally and in writing.
• Write correspondence, memos and summaries of account histories using correct grammar, punctuation and spelling.
• Retain and recall information.
• Establish priorities, meet deadlines, organize workload, and work independently.
• Operate office and computer equipment.
• Type 30 words per minute accurately.
• Remain flexible to changes in workloads and stress of meeting deadlines.
• Follow verbal and written instructions.
• Identify and bill secondary or tertiary insurances.

DESIRABLE EMPLOYMENT STANDARDS

Knowledge of:

Skill/Ability of:

License or Certificate:

Additional Information

Conditions of Employment

Candidates selected will be required to pass a pre-employment drug and alcohol screening.

Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions.

An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam.

College Cost Reduction Access Act

This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA).

Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible.

For more information you are encouraged to speak with your student loan servicer or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service

EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER