Connect With Us
Sr. Patient Account Rep (Medi-Cal Collections)
Location:
MCSS-MemorialCare Shared Svcs
Schedule:
Full Time
Shift:
Day Job
Job Listing:
MEM003080
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
Become part of Our Talent Network
JOIN NOW