Patient Accounts Representative

This recruitment is to fill current and future vacancies within the Health & Human Services Agency in Visalia, CA.

The role involves processing health insurance and private pay billings for patient/client accounts, reviewing new patient records to determine coverage classifications such as private insurance, Medi-Cal, or Medicare, verifying billing codes, requesting additional documentation to process claims, resubmitting claim rejections and denials, updating patient data, reviewing charges for accuracy, and contacting insurance companies regarding payment discrepancies.

Candidates must have basic medical terminology knowledge, health insurance billing guidelines, electronic billing systems experience, and standard office practices skills including filing and recordkeeping. Math skills for computing payment amounts and balances, good communication skills, and the ability to work independently and meet deadlines are essential.

One year of experience independently billing patient accounts, or three years processing patient accounts including Medi-Cal, Medicare, and private pay, is required.

Desirable qualifications include knowledge of ICD-9 and CPT codes, FHQC billing guidelines, and multilingual Spanish skills.

This position offers benefits such as medical, dental, vision, retirement plan, paid holidays, vacation and sick leave accrual, life insurance, disability insurance, and a deferred compensation plan.

Candidates must pass pre-employment screening and may qualify for student loan forgiveness under CCRAA.