Under the supervision of the Insurance Billing Manager, this position is responsible for the timely and accurate billing and follow-up of unpaid Medicare inpatient and outpatient accounts. This includes identification and processing of appropriate write-offs, accurate resolution of all credit balances and prompt response to help letters. Meet and exceed the minimum productivity volume, and standards of work as defined within the departmental policies and procedures.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

Required Skills

• Demonstrated ability to use a 10-key adding machine, calculator, fax machine, photocopy machine keyboard for data entry and personal computer (PC)
• Ability to perform multiple tasks, good mathematical skills, sound decision-making abilities and good verbal and written communication skills
• Ability to learn new systems, become proficient in development of reports via hospital systems and tools provided, proficient in excel and word document for appeal submission to payers

Required Experience

Required:

• High School Graduate
• Work remotely
• Internet connectivity from home location with minimum data speed of 100 Mbps down / 10 Mbps up

Preferred:

• 1 years’ experience in hospital Medicare billing and follow-up. CA Medical Billing experience.
• Knowledge of CMS billing requirements and regulations
• Familiarity with commercial third-party billing requirements