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Patient Account Representative, Outpatient Hospice- Per Diem/Variable
MemorialCare Health System
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Details

Posted: 17-Jul-22

Location: Laguna Hills, California

Salary: Open

Categories:

Admin / Clerical

Internal Number: SAD004014

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

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