Job Description



To perform this job successfully, an individual should be a high school graduate or equivalent with two (2) years of Patient Accounting experience or comparable experience in a healthcare related setting to be determined by the hiring Director and excellent organizational skills. Knowledge of UB92 and 1500 form; Medicare and/or Medi-Cal guideline; Commercial Insurance, CPT, HCPC, and ICD9/ICD10 coding methodologies.
 
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports and correspondence if required. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages if required.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations. Works well under pressure. Multi-tasks. To perform this job successfully, an individual should have knowledge of office machines, computer data entry, knowledge of computer filing systems and Microsoft applications.
 
Under the direct supervision of the Manager of Patient Financial Services and Administrative Director of Revenue Cycle, the Patient Accounting Specialist I is responsible for billing and/or follow-up and maintenance methodologies of the Patient Accounts Receivable for the organization.  The above should be carried out with the regulations and guidelines of Medicare, Medi-Cal and commercial insurance contracts.
 
Must be able to work normal/scheduled working hours which may include Holidays, call-backs, weeknights, weekends, and on-call in the Director's absence. Agrees to participate, as directed, in emergencies and community disasters during scheduled and unscheduled hours.
 
Needs to recognize that they have an affirmative duty and responsibility for reporting perceived misconduct, including actual or potential violations of laws, regulations, policies, procedures, or this organization’s standards/code of conduct.
 
The employee must work well under pressure, meet multiple and sometimes competing deadlines; and the incumbent shall at all times demonstrate a cooperative behavior with colleagues and supervisors from all departments of the Hospital and government agency employees.

 
The Hospital is an equal opportunity employer and makes employment decisions on the basis of merit, qualifications, potential and competency.   The Hospital policy prohibits unlawful discrimination based on race, color, creed, gender (including gender identity and gender expression), religion (all aspects of religious beliefs, observance or practice, including religious dress or grooming practices) marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition (including cancer or a record or history of cancer, and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, veteran status or any other consideration made unlawful by federal, state, or local laws.  It also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics, or is associated with a person who has or is perceived as having any of those characteristics.  Discrimination can also include failing to reasonably accommodate religious practices or qualified individuals with disabilities where the accommodation does not pose an undue hardship.  All such discrimination is unlawful.
 
The Hospital is committed to complying with all applicable laws providing equal employment opportunities.  This commitment applies to all persons involved in the Hospital operations and prohibits unlawful discrimination by any employee of the Hospital, including supervisors and coworkers.


Application Instructions

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