Prime Healthcare

Patient Account Specialist

Facility Prime Healthcare Management Inc
Location
US-CA-Ontario
ID
2022-96927
Category
Admin
Position Type
Full Time
Shift
Days
Job Type
Non-Exempt

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

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 payments 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.

 

#LI-BF3

Qualifications

EDUCATION, EXPERIENCE, TRAINING

 

1.      Previous Billing Experience within a hospital Business Office Required.

2.      Previous experience with government programs and collections preferred.

3.      Knowledge of medical terminology

4.      Effective written and verbal communication skills

5.      Ability to multi-task, prioritize needs to meet required timelines

6.      Analytical and problem-solving skills

7.      Customer Services experience required

8.      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

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