Patient Account Rep Senior

Title:
Patient Account Representative, Senior

Location:
Fountain Valley

Department: MCSS Patient Accounting

Status:
Full-time

Shift: Days

Pay Range: $24.49/hr - $35.50/hr

Memorial Care is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to Memorial Care's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Commercial and Managed MCAL Patient Account Representative, Senior is responsible for all Commercial and Managed MCAL insurance collections of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible. This position takes ownership of their accounts and eliminates barriers to ensure timely and correct payment including involvement with payors upper management, when necessary. This position will have working knowledge and understanding of Commercial managed care and Managed MCAL contracts 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 Commercial payors, Managed MCAL 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, research, and knowledge to audit Commercial and Managed MCAL payor payments, denials, appeals and billing issues.

This position offers you the opportunity to work from home (WFH) after all training has been completed. Once completed you will need to be available to come into the office for additional training, meetings etc., as needed.

* Placement in the pay range is based on multiple factors…