What are the responsibilities and job description for the Patient Account Specialist II position at KPC GLOBAL MEDICAL CENTERS INC.?
Job Description
Job Description
Patient Account Specialist II
Santa Ana, CA
Job Overview
Performs 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 REQUIREMENTS
