Patient Accounts Representative

This recruitment will establish an employment list to fill current and any future vacancies within the Health & Human Services Agency. The anticipated life of the employment list is six months. If interested in employment for this position for current or future vacancies, please submit an online application for consideration.

Current vacancy is with the Health and Human Services Agency located in Visalia.

Typical Duties

Process health insurance and private pay billings on patient/client accounts; review records of new patients to determine classifications of coverage to be billed such as private insurance, Medi-Cal, or Medicare; verify billing codes, request additional documents verbally or in writing to process claims, resubmit claim rejections and denials for reconsideration of payment claims; update patient data, review charges for accuracy and completeness, obtain missing information for billing purposes; call insurance companies regarding any discrepancy in payments, if necessary; respond to inquiries from patients, insurance companies, attorneys, and health care facilities regarding status of patient accounts; follow-up on unpaid claims within standard billing cycle timeframe; check trial balances of patient accounts to ensure accurate billing or crediting has occurred; combine and separate accounts to ensure proper pay classification and correct statement billing; type third-party pay forms, correspondence, and bills; update signed agreements for payment of services; record contact with patients, insurances, etc; verify uncollectible accounts for referral to collection agency; prepare write-offs for uncollectible accounts; verify eligibility information provided by patients through approved processes; submit information to supervisor concerning number and amounts of claims processed and may perform special assignments such as compiling data on number of denials from Medi-Cal claims.

Minimum Qualifications

MINIMUM QUALIFICATIONS

Minimum qualifications are used as a guide for establishing the education, training, experience, special skills and/or license which are required and equivalent to the following.

Education: Equivalent to completion of the twelfth (12th) grade.

Experience: One (1) year of experience independently billing patient accounts or three (3) years of responsible experience in processing patient accounts including Medi-Cal, Medicare, and private pay.

Knowledge of: Basic medical terminology; health insurance billing; electronic billing systems, standard office practices including filing and record keeping; computer experience; math sufficient

computing payment amounts and account balances.

Skill/Ability to: Work and communicate effectively with people of various education and socioeconomic backgrounds by respecting beliefs, interpersonal styles and behaviors of both clients and co-workers; operate contemporary office equipment inclusive of computer, keyboard, and all applicable electronic equipment; read and understand verbal and written procedures/instructions; establish, maintain and foster positive and harmonious working relationships with those contacted in the course of work; communicate clearly and concisely, both orally and in writing; write correspondence, memos and summaries of account histories using correct grammar, punctuation and spelling; retain and recall information; establish priorities, meet deadlines, organize workload, and work independently; operate office and computer equipment; type 30 words per minute accurately; remain flexible to changes in workloads and stress of meeting deadlines; follow verbal and written instructions; identify and bill secondary or tertiary insurances.

License or Certificate: Possession of, or ability to obtain, a valid California Driver’s License.

DESIRABLE EMPLOYMENT STANDARDS
Knowledge of: ICD-9 Codes, CPT Codes, Medical terminology and FHQC billing guidelines.

Skill/Ability to: Read, write and speak Spanish effectively with patients, insurance carriers, co-workers and management.

License or Certificate: Medical Billing Certificate/Coding Certificate, Front/Back Office Certificate or License from a Vocational school.

Additional Information

Conditions of Employment
Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam.

College Cost Reduction Access Act
This is a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service

EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER

Bargaining Unit 1

The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change.

Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods).

Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP).

Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems.

Paid Holiday Leave: 12 set days and 1 personal holiday.

Vacation Accrual:
2 weeks per year (0-3 years of service)
3 weeks per year (3-7 years of service)
4 weeks per year (7-11 years of service)
5 weeks per year (11+ years of service)
Limit of 300 hours.

Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave.

Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company.

Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee.

Deferred Compensation: A voluntary deferred compensation plan is available.

To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/

The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change.

Closing Date/Time: 7/28/2024 11:59 PM Pacific

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Visalia, California United States View Map