Sr. Patient Account Rep (Medi-Cal Collections)

Location: 
MCSS-MemorialCare Shared Svcs
Schedule: 
Full Time
Shift: 
Day Job
Job Listing: 
MEM003080
Patient Financial, Claims, Billing
Job Summary:
Medi-Cal Patient Account Representative, Senior is responsible for all Medi-Cal collections of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible.  
Duties & Responsibilities:
  • Takes ownership of their accounts and eliminates barriers to ensure timely and correct payment including involvement with payors upper management, when necessary. 
  • Must have working knowledge of Medi-cal including other complex payment methodologies to ensure prompt and accurate reimbursement.
  • Must be able to utilize and understand many complex and varying Medi-cal State and Federal statutes and regulations, guidelines and systems, and perform the billing and/or account follow-up function with all Medi-cal government agencies to obtain maximum and correct reimbursement of accounts receivables.  
  • Works with all payors and internal resources to identify and resolve issues that hinder account payment. 
  • Applies independent judgment and knowledge to audit Medi-cal payments, denials, appeals and billing issues.
Qualifications: 
Qualifications & Experience:
  • Minimum 3 years experience and understanding of Medi-Cal hospital collections processes required
  • Excellent interpersonal skills
  • Positive work ethics
  • Knowledge of medical terminology preferred
  • Written and verbal communication skills to meet productivity standards
  • Use of 10-key calculator by touch preferred
  • Microsoft Office and Outlook experience 
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