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Patient Account Specialist II

Integrated Healthcare Holdings
Santa Ana, CA Full Time
POSTED ON 3/14/2025
AVAILABLE BEFORE 4/13/2025

Salary Range: 28.84 To 35.19 (USD) Hourly

 Patient Account Specialist IISanta Ana, CAJob OverviewPerforms account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other non-governmental third-party payers. Duties include collections, appeals, billing, adjustments, EOB review, correspondence and managing all types of denials. Assisting newly hired team members with answers to questions.  Works on special complex high priority projects as assigned by management.EDUCATION REQUIREMENTS:High School Diploma (Additional equivalent experience above the preferred minimum may substitute for the required level of education).Experience within a hospital setting, with strong emphasis on managed care contract and appeals/underpayment collection activities.  SKILLS & ABILITIES REQUIREMENTSKnowledge of collection techniques and collection laws (i.e. AB1455, Knox-Keene Act, Health & Safety Codes, etc.)Knowledge of medical terminology and CTP/HCPS codesKnowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliations. Demonstrated skill working in a team-oriented structure to achieve goalsPersistent, ability to overcome objections, ability to remove barriersEffective written and verbal communication skillsStrong listening skills, ability to follow written and/or verbal instructionsGoal Oriented, and seeks to consistently meet aggressive daily, weekly, and monthly production and quality goalsStrong analytical skills, proficient with spreadsheets

Employment Type Full Time Regular

Salary : $29

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