University of Southern California

Research university in Los Angeles, CA

Patient Accounts Representative - Patient Financial Services

Accounts Payable/ReceivableUpdated on Nov 13

Full-timeArcadia, CA, USA$21 - $24.37 /hrIn-person

About the Job

Requirements

High school diploma or equivalent.
Experience with Chart Maxx or another scanning system.
Experience with Quadra Med/Affinity or other patient accounting software.
Two to three years of experience in a health care environment.
Experience with UB-04 insurance billing regulations and electronic claims submission.
Ability to operate a 10-key calculator, type at least 40 words per minute, and operate other business machines.
Ability to present a professional image to patients and the community through telephone, personal contact, and written correspondence.
Ability to perform, understand, and demonstrate all designated courses within 90 days of hire for new employees and within one year of February 12, 2018, for current employees.
Current employees must pass a competency test every two years from the original completion date.

Responsibilities

Attend seminars as needed.
Complete inquiry forms accurately and completely to expedite account resolution.
Correct errors promptly and accurately, and have claims resubmitted when needed.
Handle incoming correspondence and returned mail in a timely manner.
Identify late charges, obtain supporting documentation, update contractual adjustments on accounts, and have corrected claims submitted to insurance carriers in a timely manner.
Maintain accurate and complete notes in the patient account note area of the computer system.
Maintain a productivity report for assigned accounts and submit it to the Customer Service Manager weekly or as requested.
Meet or exceed assigned productivity and monthly cash collection goals.
Negotiate payment arrangements.
Obtain completed charity applications and required documents from patients applying for charity or the discount program.
Obtain necessary documentation from patients, insurance companies, or third-party intermediaries to resolve accounts according to hospital guidelines.
Obtain approvals for adjustments according to procedure guidelines.
Prepare refund requests and supporting documentation to resolve credit balances according to established guidelines.
Prepare account write-off or agency referral requests after appropriate follow-up and refer them to the Customer Service Manager or other assigned personnel for approval.
Consistently reduce outstanding dollars and the number of accounts.
Report collection and follow-up activities daily as requested by the Customer Service Manager.
Resolve assigned accounts using the Account Receivables Summary Report and procedure guidelines.
Participate in the organization-wide Performance Improvement Program, including orientation, education, quality control, performance improvement, and quality planning activities.
Screen patients for potential Medi-Cal coverage or charity write-off when payment arrangements cannot be negotiated.
Send appropriate form letters when necessary.
Submit adjustments as needed to maintain accurate patient account records in the computer system.
Contact patients or guarantors, insurance companies, and third-party intermediaries by telephone to resolve account balances.
Use the telephone as a primary tool for collection and follow-up activity.
Verify the accuracy of insurance payments and patient responsibility stated in the Explanation of Benefits.
Resolve outstanding accounts due from third-party carriers and individual patients, including refunds, through account analysis, telephone contact, written correspondence, financial arrangements, and recommendations for write-off or agency assignment.

Desired Qualifications

Knowledge of fair credit and collection practices.
Understanding of PPO/HMO and commercial insurance benefits and billing requirements.
Certified Patient Account Technician certificate.

JOB ACCOUNTABILITIES

Attending seminars, as needed.
Complete inquiry forms accurately and completely to expedite account resolution.
Correct any errors promptly and accurately.
Correct any errors promptly and have the claim resubmitted if needed.
Displays professional commitment and supports the unit team by promoting unity and teamwork among coworkers by maintaining a positive attitude and positive working relationships.
Handle incoming correspondence and returned mail on a timely basis.
Identify late charges, obtain supporting documentation, update contractual adjustment on the account and have a corrected claim submitted to the insurance carrier in a timely manner.
Maintain accurate and complete notes on the patient account note area within the current computer system.
Maintain productivity report for accounts within assigned responsibility and submit to Customer Service Manager weekly or as requested.
Meet or exceed productivity and monthly cash collection goals as assigned by Customer Service Manager.
Negotiate payment arrangements.
Obtain a completed charity application with all required documents from patients that apply for charity or our discount program.
Obtain all necessary documentation from patient, insurance company, or third payer intermediary to ensure all accounts are being resolved according to established hospital guidelines.
Obtain approvals per procedure guidelines for any adjustments.
Prepare refund request and obtain supporting documentation for credit balance resolution per established guidelines.
Prepare request form for account write-off or agency referral after appropriate follow-up activity has been performed and refer to Customer Service Manager or other assigned personnel for approval.
Reduce outstanding dollars and number of accounts on a consistent basis.
Report all collection and follow-up activities daily as requested by the Customer Service Manager.
Resolve accounts within assigned responsibility per Account Receivables Summary Report using procedure guidelines (collection work list).
Responsible for understanding and participating in the organization-wide Performance Improvement Program through orientation, education, departmental and interdepartmental quality control, performance improvement, and quality
planning activities.
Screen patients for potential Medi-Cal coverage or charity write-off, if not able to negotiate payment arrangements.
Send appropriate form letters when necessary.
Submit transactions (adjustments) as required to maintain an accurate patient account record on the computer system.
Telephone patient/guarantor, insurance company or third-party intermediary to resolve account balances.
Use the telephone as a primary tool in effective collection/follow-up activity.
Verify the accuracy of the insurance payments and patient responsibility as stated in the Explanation of Benefits (EOB).

JOB QUALIFICATIONS

Education
Req
High School or equivalent

Work Experience
Req
Experience with Chart Maxx or other scanning systems.
Experience with Quadra Med/Affinity or other patient accounting software.
2-3 years' Experience in a health care environment.
Experience with Insurance (UB04) billing regulations; and electronic claims submission.

Knowledge, Skills and Abilities
Req
Must be able to operate 10-key calculator, type a minimum of 40 words per minute and other business machine operation experience.
Must present a professional image to patients and the community through telephone, personal contact, and/or written correspondence.
Responsible to perform, understand and demonstrate ability of all courses designated, within 90 days of hire for new employees and within 1 year of 2/12/2018 for current employees.
Current employees must successfully pass a competency test every two years from the original date completed.

Other Knowledge, Skills and Abilities

Pref

Knowledge of fair credit and collection practices.

Understanding of PPO/HMO and commercial insurance benefits and billing requirements.

Licenses/Certifications

Pref
Certified Patient Account Technician certificate.

Pay Transparency

The hourly salary rate range for this position is $21.00 - $24.37. When extending an offer of employment, the University of Southern California Arcadia Hospital considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, State, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

Under the direction of the department manager, the Patient Account Representative is responsible for the timely resolution of outstanding accounts due from third party carriers, individual patients and refunds. This includes account analysis, telephone contact, written correspondence, financial arrangements for payments and recommendations for account write-off or agency
assignment.

USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to theBackground Screening Policy Appendix Dfor specific employment screen implications for the position for which you are applying.

We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at [email protected]. Inquiries will be treated as confidential to the extent permitted by law.

If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser:

https://wd5.myworkday.com/usc/d/inst/1$9925/9925$154620.htmld

About the Company

University of Southern California

Research university in Los Angeles, CA

The University of Southern California is a private research university with academic programs across the arts, sciences, business, engineering, law, health, and other professional fields.

Company size: Not listed
Company stage: Not listed
Total funding: Not listed
Headquarters: Not listed
Founded: Not listed

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