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1+ year of medical office /hospital/medical billing work experience preferred. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.
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Work across functional lanes to help monitor and improve all aspects of revenue cycle, including, but not limited to, patient registration, insurance verification, authorization, co-pay collection, billing, AR follow-up, denial management, payment posting, refund and account reconciliation.
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Responsible for overseeing day to day activities of admitting and registration, patient billing and collection, third-party payers, and denials management. The ideal candidate will have experience leading financial operations for an ambulatory surgical center, including budgeting, preparing financial statements, and directing revenue cycle management activities such as patient access, registration, charging, billing, and collecting.
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In collaboration with the Director of Clinical Operations/Executive Director, develops service goals and operations/business plans for clinical services specifically, and as a component of the continuum of care within TACRI. Establishes and maintains patient care standards and assures that patient care functions, such as assessment, treatment, documentation, and billing processes, are completed safely and effectively.
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In addition, by following up professionally to any billing related telephone calls and answer questions from patients, staff, and other interested parties within 24 hours of receipt, demonstrates the core values of AHF. Precision in the handling of refunds, overpayments on accounts and transfers payments to the appropriate account/accounts under management approval, maximizes the revenue to AHF.
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3+ years experience with patient registration in a hospital setting and/or healthcare (physician) billing. This person will not be patient facing - but will be doing a large amount of data entry of patient demographics into EPIC. They will be creating/onboarding the patient profiles within EPIC and completing the patient registration as needed with all of the insurance information as well.
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Facilitate resolution of patient billing issues. Maintain familiarity with UNOS and CMS regulations related to transplant finance and billing practices. Work with other members of the transplant team, administrative staff, billing, financial and clinical personnel at KMC to ensure financial coverage of transplant and living donor services.
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Job DetailsDescription Patient Accounts Billing Representative IIFULL TIMEGateways Hospital & Mental Health Center Gateways Hospital and Mental Health Center, located in Los Angeles, is a non-profit organization that provides an array of comprehensive mental health services for Children, Adolescents, Transitional Aged Youth, and Adults suffering from mental illness in the Greater Los Angeles area.
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The Patient Account Rep II will bill and transmit EDI claims, Medicare claims, HMO Risk Medicare claims, and Commercial Insurance claims, enter client data into the billing systems on a daily basis, research and resubmit claim denials, and post payments.
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Required to have claims processing knowledge so they can speak to providers in medical billing terms to have claims billed correctly to other payors, explain contractual overpayments, general claim overpayments, duplicates, PPO contract overpayments related to medical claims, Part A and B bundled claims, and workers compensation claims.
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JOB TITLE: Patient Registration Rep I - 9:30am - 6:00pm. copayments, coinsurance and deductibles in an efficient, accurate and hospitable manner to ensure that the patient, physician and hospital's needs are met.
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Possess strong analytical skills, medical billing or claims processing knowledge and collections background. Interpreting EOB's, ERA's (electronic remittance advice) for understanding of allowable rates and patient accumulations.
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This position is responsible for resolving North, South, and Out of Region customers billing issues / disputes within the collections call center and research environment. AA degree in Business, or certification in insurance billing or collections issued by an accredited institution.
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Over 300,000 patients are engaged daily across thousands of medical practices in the US to accelerate and increase patient cash flow, streamline pre and post-service billing operations, and provide the best patient experience that works for all demographics.
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Medical terminology strongly preferred Insurance and billing experience are strongly required Bilingual Spanish or Chinese (Mandarin) preferred HPE comprehensive training program and certification.
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patient billing jobs in Montebello, CA
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