<p>A leading hospital in the San Fernando Valley is seeking a dedicated Hospital Medical Billing Collections Specialist to join its team. In this role, you will oversee all aspects of the hospital's billing and collections processes, ensuring timely and accurate reimbursement. You will be responsible for managing billing activities and collections for Medicare managed care, commercial insurance, PPO/HMO, and Medi-Cal managed care accounts. This position requires strong attention to detail, a deep understanding of healthcare billing guidelines, and the ability to work collaboratively with internal departments and insurance payers to resolve outstanding claims.</p><p><br></p><p>Responsibilities:</p><p>• Conduct hospital billing and collection processes with accuracy and efficiency</p><p>• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care</p><p>• Provide training for Collector I positions</p><p>• Appeals and denials management.</p><p>• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role</p><p>• Oversee the management of insurance correspondence and maintain accurate records</p><p>• Monitor patient accounts and take appropriate action to collect insurance payments.</p>
<p>A Hospital in Van Nuys is in the need of an experienced Patient Account Representative to join our team in Van Nuys, California. In this role, the Patient Account Representative will utilize your expertise in hospital billing and collections to ensure seamless revenue cycle operations. This is a Contract to permanent position, offering the opportunity to transition into a permanent role based on performance and organizational needs.</p><p><br></p><p>Responsibilities:</p><p>• Manage hospital billing and collections processes, ensuring accuracy and compliance with regulations.</p><p>• Handle Medicare managed care, commercial insurance, and medical managed care accounts.</p><p>• Investigate and resolve medical billing denials and appeals to recover outstanding payments.</p><p>• Process claims for hospital inpatient and outpatient services with a focus on maximizing reimbursement.</p><p>• Collaborate with insurance carriers, patients, and internal teams to address billing inquiries and disputes.</p><p>• Monitor accounts receivable to identify and prioritize collections efforts.</p><p>• Utilize knowledge of HMO and PPO plans to navigate complex insurance requirements.</p><p>• Support training initiatives for entry level team members in Collector I positions.</p><p>• Maintain detailed records of collections activities and prepare reports for management.</p><p>• Ensure adherence to hospital revenue cycle policies and procedures.</p>
A Hospital in Tustin is in the need of Patient Registration Specialist to its Emergency Department team. The Patient Registration Specialist will play a pivotal role in ensuring patients are registered efficiently and accurately during critical moments. The Patient Registration Specialist will be tasked with admitting patients, collecting demographics and insurance information. This role requires strong communication skills, empathy, and the ability to thrive in a fast-paced healthcare environment.<br><br>Responsibilities:<br>• Welcome patients and their families to the Emergency Department with professionalism and empathy.<br>• Collect and validate patient demographic and insurance information to ensure accuracy.<br>• Obtain and securely scan necessary documents, including identification and insurance cards.<br>• Explain financial responsibilities such as co-payments and assist patients with payment collection.<br>• Accurately input patient data into the electronic health record system.<br>• Collaborate with clinical staff to facilitate smooth patient flow and minimize delays.<br>• Address patient and visitor inquiries with a calm and supportive demeanor.<br>• Adhere to hospital policies and maintain compliance with organizational standards.<br>• Perform additional administrative tasks as required to support the department.<br><br>Schedule: 40 hours/week; rotating weekends<br>Shift 1: 6:00am – 2:30pm<br>Shift 2: 2:00pm – 10:30pm<br>Shift 3: 10:00pm – 6:30am
