Patient Account Representative Medicare Billing & Follow Up, FT Days

Responsible for the timely and accurate billing through resolution of Medicare inpatient and outpatient accounts. This includes billing, collection and follow-up activities, identification and processing of appropriate write-offs, accurate resolution of all credit balances and prompt response to communications from Medicare.  Ensures compliance to Medicare billing requirements to include all coding edits.  Performs timely billing of secondary insurance and follow up on unpaid balances due from secondary payers.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. 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. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

• Demonstrated ability to use a 10-key adding machine, calculator, fax machine, photocopy machine keyboard for data entry and personal computer (PC).
• Ability to perform multiple tasks, good mathematical skills, sound decision making abilities and good verbal and written communication skills.
• Ability to learn new systems, become proficient in development of  reports via hospital systems and tools provided, proficient in excel and word document for appeal submission to payers

• High school graduate or G.E.D. preferred. 
• Two years college preferred. 
• Minimum two (2) years of experience in hospital Medicare billing and follow up is required.
• Knowledge of CMS billing requirements and regulations.
• Evidence of continuing education preferred. 
• Familiarity with commercial third-party billing requirements.