The Patient Account Specialist I is responsible for interpreting EOBs for payment verification, adjustments, and denials. This role manages outstanding claims, resolves patient billing inquiries, and supports accurate reimbursement across Medicare, Medicaid, managed care, and private insurance payers.
Key responsibilities include reviewing and submitting claims, correcting claim details, researching aging reports, responding to payer requests, posting charges, and supporting billing operations across multiple departments. The position also serves as a liaison between physicians, insurers, and third-party organizations to help ensure timely reimbursement and accurate patient account management.
Qualifications
- AA/AS degree required; a 4-year university diploma is preferred
- Minimum 3 years of healthcare experience may substitute for the degree requirement
- Experience in a healthcare or FQHC setting preferred
- Experience with Epic PB Resolute preferred
- Familiarity with Medicare, Medicaid, private insurance, managed care (HMO/PPO), CPT, and ICD-10-CM
- Strong analytical and communication skills
- Proficiency with computer systems and business correspondence
- Strong organizational skills and ability to manage multiple billing workflows
- High customer service standards in a complex healthcare environment
- Self-motivated, resourceful, organized, and detail-oriented
Language Requirements
- Proficient in written and spoken English and Chinese (Cantonese and/or Mandarin)
- Additional languages are an asset
Benefits
- Free medical, dental, and vision insurance for employee, spouse, and/or children
- Company contribution to 401(k)
- Competitive benefits package
Location
California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago