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Patient Account Specialist

West Anaheim Medical Center
Anaheim, CA Full Time
POSTED ON 6/29/2023 CLOSED ON 6/29/2023

What are the responsibilities and job description for the Patient Account Specialist position at West Anaheim Medical Center?

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more information visit www.westanaheimmedctr.com.

Responsibilities

The Patient Account Specialist is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payer guidelines and state/federal regulations, when assigned. Under the supervision of the Director, the Patient Account Specialist is also responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines, and systems, analyzes payment received from insurance companies to assure maximum and correct reimbursement of Hospital's receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate regulations in order to assure compliance in payment practices. Leads teams in the resolution of unpaid accounts.

Qualifications

Education and Work Experience

  • Previous Billing Experience within a hospital Business Office required.
  • Previous experience with government programs and collections preferred.
  • Knowledge of medical terminology.
  • Effective written and verbal communication skills.
  • Ability to multi-task, prioritize needs to meet required timelines.
  • Analytical and problem-solving skills.
  • Customer service experience required.
  • High School Graduate or GED equivalent required (effective 4/1/14 for all new hires).
  •  

    We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law:https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

     

    West Anaheim Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $20.00 to $24.00. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

    Salary : $20 - $0

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