Job Detail

Work Location

Orange, California

Work Shift

Day – 08hrs (United States of America)

 

Why CHOC?

At CHOC Children’s, we strive to be the leading destination of children’s health by providing exceptional and innovative care. We are responsible for the overall health of our community’s pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at CHOC Children’s can be as diverse and fulfilling as you determine. CHOC Children’s compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals. Apply now to see where your career at CHOC Children’s can take you.

 

Job Summary

The Patient Account Representative is responsible for working with insurance companies, state agencies, and patients or parents in resolving account balances. Will research insurance billing and adjustment identification to ensure proper account resolution. Must have knowledge of all aspect of insurance claim filing and collection regulations, and understand payer remittance documents as well as regulatory guidelines or contracts that result in a reduction of billed charges. The role relies on guidelines established by the department and organization to perform job functions and work under general supervision in a moderately fast paced environment.

 

Experience

• Required: Minimum one (1) year of experience with billing and follow-up of Hospital / Physician claims. Knowledge of paper and electronic billing.

Education

• Required: High School Graduate/ GED or equivalent.
• Preferred: Some college or specific course related study.

Training

• Required: Working knowledge with Medicare, Medi-Cal, CCS, Cal-Optima, Private, PPO and HMO. Knowledge of CPT and ICD-10 Coding, understanding of payer contracts.

Specialized Skills

• Required: Knowledge of computer systems and software used in functional area. Ability to prioritize and complete duties in a timely manner to accomplish both individual and team goals. Open to change and be able to problem solve; supply input and participate in team meetings. Strong attention to detail, vigilance, poise, and composure in stressful situations.

Licensure

• Required: None required.