Patient Account Specialist

About the Role

Join an award-winning team of dedicated professionals at West Anaheim Medical Center, a 219-bed acute-care hospital founded in 1964. As a member of Prime Healthcare, we are committed to our core values of quality, compassion, and community, offering high-quality healthcare services including general medical and surgical inpatient care, emergency services, surgical services, behavioral health, a comprehensive heart center, and diagnostic imaging.

Responsibilities

• Submit claims to appropriate intermediaries, ensuring procedures and charges are coded in compliance with all payer guidelines and state/federal regulations.
• Analyze payments received from insurance companies to ensure maximum and correct reimbursement of the hospital’s receivables, utilizing complex regulations, guidelines, and systems.
• Proactively work with payers and in-house resources to identify and resolve issues hindering optimal and correct account payment.
• Apply appropriate regulations to ensure compliance in payment practices.
• Lead teams in the resolution of unpaid accounts.
• Perform accurate and timely payment analysis of managed care contracts to determine appropriate reimbursement under the supervision of the Director.

Requirements

• 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 and prioritize needs to meet required timelines.
• Analytical and problem-solving skills.
• Customer service experience (required).
• High school graduate or GED equivalent (preferred).

Benefits

West Anaheim Medical Center offers a comprehensive benefits package that provides flexibility to tailor benefits according to individual needs. Our Total Rewards package includes:

• Paid time off.
• 401K retirement plan.
• Medical, dental, and vision coverage.
• Tuition reimbursement.
• Additional voluntary benefit options.

Pay

A reasonable compensation estimate for this role is $24.42 to $27.84 per hour. The exact starting compensation will be determined based on factors such as skillset, years of applicable experience, education, credentials, and licensure.

Schedule

Full-time, day shift.