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PFS Patient Account Representative, Patient Accounting - Medical Billing & Coding

Date Posted: Mar 28, 2024

Job Description

Full Job Description

Work Location
Orange, California

Work Shift
Day – 08hrs (United States of America)
At CHOC, 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 can be as diverse and fulfilling as you determine. CHOC’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 can take you.
Job Summary
The Patient Account Representative position is responsible for working with insurance companies, state agencies, and patients or parents in resolving account balances. The core responsibilities of a Patient Account Representative include research, insurance billing and adjustment identification to ensure proper account resolution. The Patient Account Representative 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. This position requires the ability to work independently, accomplish goals, excellent customer service and communication skills, creativity, patience and flexibility. Patient Account Representatives rely on guidelines established by the department and organization to perform job functions and work under general supervision in a moderately fast paced environment.
Pay Range
Minimum $21.55 Midpoint $28.56 Maximum $35.57
Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements.
  • Minimum of one year experience with billing and follow-up of Hospital / Physician claims.
  • Knowledge of paper and electronic billing
  • Working knowledge with Medicare, Medi-Cal, CCS, Cal-Optima, Private, PPO and HMO.
  • Detail oriented, computer skills. Knowledge of CPT and ICD-10 Coding, understanding of payer contracts
  • High School Graduate or Equivalent
  • 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.
  • Some college or specific course related study
Work Environments - Functional Demand:
Sedentary - Very light energy level Lift 10 lbs. box overhead. Lift and carry 15 lbs. Push/pull 20 lbs. cart.
Physical Activity Requirements:
Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation
Physical Activity Lifting


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