Patient Accounts Representative

This recruitment will establish an employment list to fill current and any future vacancies within the Health & Human Services Agency.  The anticipated life of the employment list is six months.  If interested in employment for this position for current or future vacancies, please submit an online application for consideration.

Current vacancy is with the Health and Human Services Agency located in Visalia.

*This position is scheduled to receive a 3% cost of living adjustment on 6/30/2024.  

 Process health insurance and private pay billings on patient/client accounts; review records of new patients to determine classifications of coverage to be billed such as private insurance, Medi-Cal, or Medicare; verify billing codes, request additional documents verbally or in writing to process claims, resubmit claim rejections and denials for reconsideration of payment claims; update patient data, review charges for accuracy and completeness, obtain missing information for billing purposes; call insurance companies regarding any discrepancy in payments, if necessary; respond to inquiries from patients, insurance companies, attorneys, and health care facilities regarding status of patient accounts; follow-up on unpaid claims within standard billing cycle timeframe; check trial balances of patient accounts to ensure accurate billing or crediting has occurred; combine and separate accounts to ensure proper pay classification and correct statement billing; type third-party pay forms, correspondence, and bills; update signed agreements for payment of services; record contact with patients, insurances, etc; verify uncollectible accounts for referral to collection agency; prepare write-offs for uncollectible accounts; verify eligibility information provided by patients through approved processes; submit information to supervisor concerning number and amounts of claims processed and may perform special assignments such as compiling data on number of denials from Medi-Cal claims.Education:  Equivalent to completion of twelfth grade. 
 
Experience: One (1) year of experience independently billing patient accounts or three (3) years of responsible experience in processing patient accounts including Medi-Cal, Medicare, and private pay.

Knowledge of: Basic medical terminology; health insurance billing; electronic billing systems, standard office practices including filing and record keeping; computer experience; math sufficient to compute payment amounts and account balances. 
 
Skill/Ability to: Work and communicate effectively with people of various education and socioeconomic backgrounds by respecting beliefs, interpersonal styles and behaviors of both clients and co-workers; operate contemporary office equipment inclusive of computer, keyboard, and all applicable electronic equipment; read and understand verbal and written procedures/instructions; establish, maintain and foster positive and harmonious working relationships with those contacted in the course of work; communicate clearly and concisely, both orally and in writing; write correspondence, memos and summaries of account histories using correct grammar, punctuation and spelling; retain and recall information; establish priorities, meet deadlines, organize workload, and work independently; operate office and computer equipment; type 30 words per minute accurately; remain flexible to changes in workloads and stress of meeting deadlines; follow verbal and written instructions; identify and bill secondary or tertiary insurances.
 
DESIRABLE EMPLOYMENT STANDARD
Knowledge of: ICD-9 Codes, CPT Codes, Medical terminology and FHQC billing guidelines.

Skill/Ability to: Read, write and speak Spanish effectively with patients, insurance carriers, co-workers and management.

License or Certificate: Medical Billing Certificate/Coding Certificate, Front/Back Office Certificate or License from a Vocational school.Conditions of Employment
College Cost Reduction Access Act