- Santa Ana, California, United States
- Senior
- 5+ years
Senior Patient Account Specialist ensuring compliance with payer requirements, maximizing reimbursement, and reducing denials and aged accounts.
Responsibilities
- Resolve accounts within established productivity and quality standards
- Audit patient accounts for compliance with payer guidelines, contracts, billing regulations, and internal policies
- Review accounts throughout the revenue cycle to identify compliance risks, reimbursement opportunities, and process gaps
- Analyze underpayments, denials, payment variances, and reimbursement discrepancies
- Monitor payer performance and identify trends affecting reimbursement and collections
Requirements
- High school diploma or equivalent
- Nice to have: commercial payers
- Nice to have: managed care payers
- Nice to have: workers' compensation payers
- Nice to have: government payers