What are the responsibilities and job description for the Medical Administrative Assistant position at CoreVia Staffing?
Job title: Medical Administrative Assistant
Location: 1798 N Garey Ave, Pomona, CA 91767
Duration: 13 weeks with the possibility of extension
Working hours: Day 5x8-Hour (07:00 - 15:30)
Required Experience: Patient Registration, Insurance Verification, Authorization Processing, Data Entry, EHR/EMR Systems, Appointment Scheduling, Customer Service, Front Desk Operations, Medical Records Management
Position Overview:
• We are seeking a detail-oriented Patient Account Representative to join our Hospital Business Office team.
• The ideal candidate will have experience in hospital accounts receivable, facility billing, medical collections, and insurance follow-up.
• This role is responsible for managing outstanding hospital claims, resolving payment issues, appealing denials, and ensuring timely reimbursement from Medicare, Medicaid/Medi-Cal, and commercial insurance payers.
Required Qualifications:
• High School Diploma or GED required.
• 1–3 years of experience in hospital accounts receivable, medical collections, insurance follow-up, or healthcare collections.
• Experience with UB-04 (Institutional/Facility) billing and claims follow-up.
• Knowledge of hospital billing processes, CPT, ICD-10, and DRG reimbursement.
• Familiarity with Medicare, Medi-Cal/Medicaid, and commercial payer guidelines.
• Proficiency in Microsoft Office and hospital billing/account receivable systems.
• Strong analytical, communication, and problem-solving skills.
• Ability to work independently while managing multiple priorities.
Key Responsibilities:
• Review hospital accounts receivable aging reports and prioritize collection activities.
• Perform insurance follow-up on institutional (UB-04) facility claims across all lines of business.
• Contact insurance carriers to resolve outstanding balances, payment delays, and claim issues.
• Investigate denied or underpaid claims and submit appeals to maximize reimbursement.
• Analyze claim denials, payment variances, and reimbursement discrepancies.
• Verify patient insurance eligibility through insurance portals and payer websites.
• Communicate with insurance customer service representatives to resolve claim issues efficiently.
• Coordinate with billing, coding, and other internal departments to resolve account discrepancies.
• Accurately document all collection and follow-up activities in the hospital billing system.
• Ensure compliance with HIPAA, hospital policies, and applicable federal and state regulations.
• Meet departmental productivity, quality, and collection goals.
Preferred Skills:
• Experience with facility billing and institutional claims processing.
• Strong understanding of healthcare reimbursement methodologies.
• Ability to interpret Explanation of Benefits (EOBs) and Remittance Advices (ERAs).
• Excellent organizational and time-management skills.
• Experience working in a fast-paced hospital revenue cycle environment.