PFS Patient Account Rep ( Full Time Day Shift)
Orange, CA Orange, CA Full-time Full-time $19.
16 - $31.
61 an hour $19.
16 - $31.
61 an hour Work Location Orange, California Work Shift Day - 08hrs (United States of America) Why CHOC? At CHOC, we strive to be the leading destination of children's health by providing exceptional and innovative care.
We are responsible for the overall health of our community's pediatric population in our hospitals, clinics, and practices.
And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine.
CHOC's compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals.
Apply now to see where your career at CHOC can take you.
Job Summary The Patient Account Representative is responsible for working with insurance companies, state agencies, and patients or parents in resolving account balances.
Will research insurance billing and adjustment identification to ensure proper account resolution.
Must have knowledge of all aspect of insurance claim filing and collection regulations, and understand payer remittance documents as well as regulatory guidelines or contracts that result in a reduction of billed charges.
The role relies on guidelines established by the department and organization to perform job functions and work under general supervision in a moderately fast paced environment.
Pay Range Minimum $19.
16 Midpoint $25.
39 Maximum $31.
61 Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements.
Experience Required:
Minimum one (1) year of experience with billing and follow-up of Hospital / Physician claims.
Knowledge of paper and electronic billing.
Education Required:
High School Graduate/ GED or equivalent.
Preferred:
Some college or specific course related study.
Training Required:
Working knowledge with Medicare, Medi-Cal, CCS, Cal-Optima, Private, PPO and HMO.
Knowledge of CPT and ICD-10 Coding, understanding of payer contracts.
Specialized Skills Required:
Knowledge of computer systems and software used in functional area.
Ability to prioritize and complete duties in a timely manner to accomplish both individual and team goals.
Open to change and be able to problem solve; supply input and participate in team meetings.
Strong attention to detail, vigilance, poise, and composure in stressful situations.
Licensure Required:
None required.
Work Environments - Functional Demand:
Sedentary - Very light energy level Lift 10 lbs.
box overhead.
Lift and carry 15 lbs.
Push/pull 20 lbs.
cart.
Physical Activity Requirements:
Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation Physical Activity Lifting Lifting (Floor to waist level) - Constant 67 or more%, Lifting (Floor to waist level) - Frequent 36-66%, Lifting (Floor to waist level) - Occasional 0-35%, Lifting (Waist level and above) - Constant 67 or more%, Lifting (Waist level and above) - Frequent 36-66%, Lifting (Waist level and above) - Occasional 0-35% Sensory Requirements:
Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision Environment Requirements:
Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations.
Estimated Salary: $20 to $28 per hour based on qualifications.
16 - $31.
61 an hour $19.
16 - $31.
61 an hour Work Location Orange, California Work Shift Day - 08hrs (United States of America) Why CHOC? At CHOC, we strive to be the leading destination of children's health by providing exceptional and innovative care.
We are responsible for the overall health of our community's pediatric population in our hospitals, clinics, and practices.
And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine.
CHOC's compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals.
Apply now to see where your career at CHOC can take you.
Job Summary The Patient Account Representative is responsible for working with insurance companies, state agencies, and patients or parents in resolving account balances.
Will research insurance billing and adjustment identification to ensure proper account resolution.
Must have knowledge of all aspect of insurance claim filing and collection regulations, and understand payer remittance documents as well as regulatory guidelines or contracts that result in a reduction of billed charges.
The role relies on guidelines established by the department and organization to perform job functions and work under general supervision in a moderately fast paced environment.
Pay Range Minimum $19.
16 Midpoint $25.
39 Maximum $31.
61 Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements.
Experience Required:
Minimum one (1) year of experience with billing and follow-up of Hospital / Physician claims.
Knowledge of paper and electronic billing.
Education Required:
High School Graduate/ GED or equivalent.
Preferred:
Some college or specific course related study.
Training Required:
Working knowledge with Medicare, Medi-Cal, CCS, Cal-Optima, Private, PPO and HMO.
Knowledge of CPT and ICD-10 Coding, understanding of payer contracts.
Specialized Skills Required:
Knowledge of computer systems and software used in functional area.
Ability to prioritize and complete duties in a timely manner to accomplish both individual and team goals.
Open to change and be able to problem solve; supply input and participate in team meetings.
Strong attention to detail, vigilance, poise, and composure in stressful situations.
Licensure Required:
None required.
Work Environments - Functional Demand:
Sedentary - Very light energy level Lift 10 lbs.
box overhead.
Lift and carry 15 lbs.
Push/pull 20 lbs.
cart.
Physical Activity Requirements:
Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation Physical Activity Lifting Lifting (Floor to waist level) - Constant 67 or more%, Lifting (Floor to waist level) - Frequent 36-66%, Lifting (Floor to waist level) - Occasional 0-35%, Lifting (Waist level and above) - Constant 67 or more%, Lifting (Waist level and above) - Frequent 36-66%, Lifting (Waist level and above) - Occasional 0-35% Sensory Requirements:
Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision Environment Requirements:
Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations.
Estimated Salary: $20 to $28 per hour based on qualifications.
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