U

University of Southern California

Research university in Los Angeles, CA

Account Representative

Clinical Support & Patient AdministrationUpdated on Nov 13
Full-timePasadena, CA, USA$26 - $41.28 /hrIn-person

About the Job

Requirements

  • High school diploma or equivalent is required.
  • Two to three years of experience in medical billing, coding, or charge entry is required.
  • Working knowledge of CPT and ICD-9 and ICD-10 is required.
  • Experience with computerized billing systems, computer peripheral equipment, fax, personal computer, photocopier, scanning, and laws governing charging and collection efforts is required.
  • Knowledge of compliance, cost reimbursement, and insurance negotiating procedures is required.
  • Ability to maintain confidentiality of sensitive information and to recognize, evaluate, solve problems, and correct errors is required.
  • Ability to deal courteously with patients and the public is required.
  • Skill in establishing and maintaining effective working relationships with medical and office staff, insurance organizations, and the public is required.
  • Excellent verbal and written communication skills are required.
  • Ability to multitask in a fast-paced environment, prioritize projects, and work independently with attention to detail is required.
  • Ability to demonstrate professionalism, customer service, and interpersonal skills while operating under strict confidentiality is required.
  • Fire Life Safety Training (LA City) is required for employees working within LA City; if the employee does not have a card upon hire, they must obtain one within 30 days and renew it before expiration.

Responsibilities

  • Provide administrative support to the Consolidated Billing Office through support, data entry, research, and assigned projects.
  • Work as a member of the billing team to maintain operational flow, customer satisfaction, and efficient processes.
  • Sort and separate related documents accurately according to billing requirements and client or payor guidelines.
  • When assigned to payment posting, prepare and reconcile payment batches, input payment data, review reports for accuracy, and make corrections as needed.
  • Maintain productivity standards for the assigned unit and achieve an average score of at least 90% on quality reviews.
  • Collect and audit patient charge slips and reports, obtain missing information such as charge slips, patient demographics, and insurance information, assign CPT-4 and ICD-9CM codes to medical services and diagnoses, enter charge data into the billing system, verify entered data, mail insurance claims and patient statements, and prepare attachments such as Explanation of Benefits copies for secondary billing.
  • Generate routine computer reports or printouts.
  • Review and correct minor claim errors identified in the front-end claim editor and make charge corrections requested by coders and collectors.
  • Maintain files for charge slips, Explanations of Benefits, and client or patient information; prepare and distribute reports.
  • Verify insurance eligibility for assigned clinics, register patients in the data system as necessary, and assist with insurance-related revenue-collection projects.
  • Review missing charges identified in the data system and contact departments or providers to obtain information needed to clear them.
  • Review third-party payor Explanations of Benefits to determine whether payments were made correctly and whether denials can be rebilled; obtain missing information as needed.
  • Prepare and reconcile payment batches, correct errors or problems, enter data into the billing system, monitor reports for accuracy, process cash, checks, and credit-card payments, enter payment data, and adjust financial class to process invoice balances.
  • Assist and guide billing staff in resolving payment-related issues and notify a supervisor of ongoing problems.
  • Prepare deposits, maintain files for charge slips, Explanations of Benefits, and client or patient information, and prepare and distribute batch reports.
  • Perform other related duties as assigned or requested.

Desired Qualifications

  • Working knowledge of Medicare, Medi-Cal/Caid, HMO, PPO, commercial, and private-pay processes is preferred.

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.

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