Patient Account Rep
The posted compensation range of $15.49 - $21.30 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
We understand you have personal responsibilities outside of your profession and also care about your well-being. With you in mind, we offer the following benefits to support your work/life balance:
- Health/Dental/Vision Insurance
- Premium Access to our Family Care Program supporting your needs for childcare, pet care, and/or adult dependent care
- Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
- Employee Assistance Program (EAP) for you and your family
- Paid Time Off (PTO)
- Tuition Assistance for career growth and development
- Matching 401(k) and 457(b) Retirement Programs
- Adoption Assistance
- Wellness Programs
- Flexible spending accounts
From primary to specialty care as well as walk-in and virtual services CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.
Responsibilities
Job Summary / Purpose
This job is responsible for payment posting functions including, entering patient and insurance payments, contractual allowances and other adjustments onto the patient’s account and interpretation of Explanations of Benefits (EOBs)/Electronic Remittance Advice (ERAs) from insurance.
Work requires an understanding of detailed billing requirements, cash posting processes and government/commercial insurance reimbursement terms, remittance advice details and contractual/other adjustments. Attention to detail, the ability to accurately and timely troubleshoot/resolve (within position scope) issues that have a potential impact on revenues are also required.
Key Job Responsibilities
- Reviews and posts payments and write-off/adjustments from insurance and patients.
- Reviews Explanation of Benefits (EOBs)/ Electronic Remittance Advice (ERAs), payments, adjustments, insurance contracts and contracting system, insurance benefits, and all account comments; applies knowledge of payer contracts and experience with insurance reviews to gather additional information as necessary.
- Posts and tracks electronic funds transfer (EFT) information and validates EFTs for accuracy.
- Follows write-off approval protocols for non-routine adjustments.
- Manually posts non-electronic activities to include: payments, adjustments, and zero payment denials.
- Completes daily posting log and quarterly cash handling audits and reports findings to Supervisor/Manager.
- Identifies and researches unusual, complex or escalated issues as assigned; applies problem-solving and critical thinking skills as necessary to resolve issues within the scope of position authority or to escalate following established procedures.
- Notifies Supervisor/Manager of ongoing issues and concerns as appropriate
- Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.
- Meets quality assurance and productivity standards for timely and accurate posting of payments in accordance with organizational policies and procedures.
- Applies current knowledge of detailed billing requirements and cash posting processes.
- Applies current knowledge of government/commercial insurance reimbursement terms, contractual and/or other adjustments and remittance advice details.
- Depending on role and practice management training, may be called upon to support other areas in the Revenue Cycle.
Qualifications
Minimum Qualifications
Required Education (for CHI Leadership Job Levels from Supervisor through President) | Does Not Apply |
Required Education for Staff Job Levels | Does Not Apply |
Required Licensure and Certifications | Does Not Apply |
Required Minimum Knowledge, Skills and Abilities |
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PREFERRED Qualifications | Click here to enter text. |
Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.
Apply
Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.
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Equal Opportunity
CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].
CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.