Patient Account Representative, Outpatient Hospice- Per Diem/Variable

MemorialCare Health System

Details

Posted:

January 13, 2021

Location:

Laguna Hills, California

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Salary:

Open

Discipline:

Admin / Clerical

Job Responsibilities

Ability to submit Medicare, Commercial, and private pay claims in a timely fashion
Demonstrates ability to precisely review and calculate all Medi-Cal, Medicare, Cal-optima and managed care payments to ensure accurate reimbursement
Demonstrates ability to research and/or follow up on insurance refunds to ensure accurate account balances
Monitors, Pays, Updates all Invoices from different vendors. Document appropriately in the Hospice/Health system all correspondences and other transactions in interacting with Accounts Payable and Vendors
Ability to complete end-of the month closing and statistical reports
Demonstrates ability to monitor and analyze Accounts Receivable (A/R) to ensure minimal number of days in A/R
Ability to verify insurance coverage for all payer types for patient admissions. Makes written and or verbal inquires to third party payer to verify insurance benefits, eligibility and insurance status
Obtains and tracks all authorizations for home health and hospice patients
Ability to be at work and be on time
Ability to follow company policies, procedures and directives
Ability to interact in a positive and constructive manner
Ability to prioritize and multitask

Internal Number: SAD003121

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