Patient Account Rep.

Mercy Medical Center a Dignity Health member has been building a rich history of care in our community for more than 100 years. We have grown from a small one-story wooden structure into a major healthcare provider with a new 186-bed main campus offering the latest in facility design and technology. Mercy also operates Outpatient Centers a Cancer Center and several rural clinics.

Wherever you work throughout our system you will find faces of experience with dedication to high quality personalized care. Joining our 1300 employees 230 physicians and many volunteers you can help carry out our commitment to providing our community with the excellence they have come to associate with Mercy Medical Center.

One Community. One Mission. One California

The Patient Account Representative is responsible for performing the medical billing and collection functions for the Patient Financial Services department using a host of systems and tools. The primary purpose of this position is to perform medical billing and collection functions for commercial managed care self-pay third party payer and or Medicare for hospital clinic accounts and other hospital related services or payers. This position may also perform follow-up activities to ensure accounts are processed and paid accurately billed/appealed timely and ensure other necessary actions are completed to resolve open AR balances including credit balances. May performs other duties as assigned which include communicating with internal departments insurance payers patients and other healthcare providers training other team members assisting with AR projects and participating in training classes and other meetings related to Patient Financial Services in general.

As a Patient Account Representative you will be responsible for preparing and processing superbill charges and payments ensuring accurate financial record-keeping.

Every day you will meticulously post these charges and payments to patient accounts and efficiently schedule daily appointments contributing to the smooth operation of patient billing and scheduling.

To be successful in this role you will demonstrate meticulous attention to detail in financial transactions strong organizational skills for scheduling and a commitment to accuracy and efficiency in patient account management.

• Must have proficient knowledge and the ability to accurately utilize all reimbursement tools including payer contracts and all relevant electronic claims processing and reimbursement tools available.
• Assists colleagues through training and guidance.
• Ensure proper reimbursement activities by accurately troubleshooting problem areas and reporting errors or issues timely to leads and management.
• Ensure the timely and accurate reimbursement of claims by properly analyzing reimbursement activities as assigned. Including billing scrubber work lists and inventory reports.
• Ensure timely reimbursement of accounts by accurately and efficiently preparing bills assembling information to be either mailed or electronically transmitted to the appropriate payer.
• Review patient accounts for accuracy check for authorizations other insurance coverage deposits and any other pertinent information required to complete the account.

Required:

• High School Graduate and a Minimum of one year of billing or collections experience upon hire or
• High School GED and a Minimum of one year of billing or collections experience upon hire and
• Experience with EHR systems and electronic billing systems
• Knowledge in billing requirements and/or regulations of Government and Non-Government payers

• Ability to use a computer and Windows PC applications including strong keyboard and navigation skills

• Ability to multitask research and troubleshoot billing and or payer issues.

Preferred:

• Two years of billing or collections experience and
• Healthcare billing/collections-related experience