<p>We are looking for a Patient Account Representative to join a healthcare team in California. The Patient Account Representative is great position for a medical biller looking to work for a hospital. The Patient Account Representative will be tasked with medical billing and collections and manage accounts across a range of payer types. The Patient Account Representative role focuses on resolving outstanding balances, addressing denials and appeals, and supporting timely reimbursement for both inpatient and outpatient services.</p><p><br></p><p>Responsibilities:</p><p>• Pursue outstanding hospital accounts by following up with insurance carriers and other payers to secure accurate and timely payment.</p><p>• Investigate claim denials, underpayments, and delayed reimbursements, then take appropriate action to move accounts toward resolution.</p><p>• Prepare and submit appeals with supporting documentation to challenge payer decisions and recover eligible revenue.</p><p>• Work across multiple coverage categories, including Medicare managed care, commercial plans, and managed care products, to address billing and collection issues.</p><p>• Review inpatient and outpatient account activity to identify discrepancies, correct billing issues, and escalate complex cases when needed.</p><p>• Maintain detailed records of collection efforts, account updates, and payer communications in accordance with departmental standards.</p><p>• Collaborate with internal billing and revenue cycle teams to resolve account barriers and improve reimbursement outcomes.</p>
<p>A Hospital in Van Nuys is in the need of an experienced Patient Account Representative to join our team in Van Nuys, California. In this role, the Patient Account Representative will utilize your expertise in hospital billing and collections to ensure seamless revenue cycle operations. This is a Contract to permanent position, offering the opportunity to transition into a permanent role based on performance and organizational needs.</p><p><br></p><p>Responsibilities:</p><p>• Manage hospital billing and collections processes, ensuring accuracy and compliance with regulations.</p><p>• Handle Medicare managed care, commercial insurance, and medical managed care accounts.</p><p>• Investigate and resolve medical billing denials and appeals to recover outstanding payments.</p><p>• Process claims for hospital inpatient and outpatient services with a focus on maximizing reimbursement.</p><p>• Collaborate with insurance carriers, patients, and internal teams to address billing inquiries and disputes.</p><p>• Monitor accounts receivable to identify and prioritize collections efforts.</p><p>• Utilize knowledge of HMO and PPO plans to navigate complex insurance requirements.</p><p>• Support training initiatives for entry level team members in Collector I positions.</p><p>• Maintain detailed records of collections activities and prepare reports for management.</p><p>• Ensure adherence to hospital revenue cycle policies and procedures.</p>
<p>A Large Healthcare Company located in the San Fernando Valley is in the immediate need of a Patient Account Representative. The Patient Account Representative is ideal for someone that had 2+ years of experience in medical billing and/or collections. The Patient Account Representative will be responsible for managing patient accounts, resolving billing issues, processing payments, and working with patients, insurers, and internal departments to ensure accurate and timely account resolution.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Review and manage patient accounts to ensure accurate billing and timely follow-up</li><li>Contact insurance companies, patients, and hospital departments regarding claim status, payment issues, and account discrepancies</li><li>Process payments, adjustments, refunds, and account updates in accordance with hospital policies</li><li>Investigate and resolve denied, underpaid, or unpaid claims</li><li>Assist patients with billing questions, payment arrangements, and financial responsibility explanations</li><li>Maintain accurate documentation of account activity in billing and hospital systems</li><li>Ensure compliance with HIPAA, hospital policies, and applicable billing regulations</li><li>Support month-end reporting and account reconciliation activities as needed</li></ul>
<p>A Healthcare Company in Van Nuys is in the need of Patient Account Rep. The Patient Account Rep requires a strong background in medical billing and collections, with a focus on managed care and commercial claims. As a Patient Account Rep this role offers a pathway to long-term employment for a detail-oriented individual ready to make a meaningful impact in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Handle hospital billing and collections processes, including inpatient and outpatient claims.</p><p>• Manage the resolution of denied claims and appeals across Medicare, managed care, and commercial insurance providers.</p><p>• Ensure timely and accurate processing of payments within hospital revenue cycles.</p><p>• Collaborate with insurance companies to resolve discrepancies and secure reimbursements.</p><p>• Utilize knowledge of HMO and PPO plans to navigate complex billing scenarios effectively.</p><p>• Provide training and support to entry-level collectors as needed.</p><p>• Conduct thorough account reviews to identify outstanding balances and address payment issues.</p><p>• Maintain compliance with healthcare regulations and billing guidelines.</p><p>• Communicate with patients and providers to clarify billing concerns and payment plans.</p><p>• Prepare detailed reports on collection activities and outcomes for management review.</p>
<p>We are looking for a Medical Staff Coordinator to support credentialing and privileging activities for physician staff in Santa Monica, California. This Medical Staff Coordinator plays an important role in maintaining accurate provider records, supporting compliance efforts, and coordinating documentation for appointment and reappointment workflows. The ideal candidate brings prior experience in a hospital or healthcare environment, strong working knowledge of MD Staff, and the ability to manage sensitive information with accuracy and care.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Oversee the end-to-end credentialing cycle for physicians, including new appointments, renewals, and ongoing status maintenance.</p><p>• Review and validate provider documentation such as licenses, education, certifications, employment history, and references.</p><p>• Administer privilege requests and updates by tracking clinical privileges and ensuring alignment with governing bylaws and organizational standards.</p><p>• Maintain complete and current practitioner files within the MD Staff platform, ensuring data accuracy and documentation readiness.</p><p>• Track expiring credentials and follow up proactively to obtain renewed licenses, certifications, and other required materials before deadlines.</p><p>• Assemble credentialing packets and prepare supporting materials for review by committees, leadership groups, and governing bodies.</p><p>• Help uphold adherence to accreditation and regulatory expectations, including Joint Commission standards and internal medical staff requirements.</p><p>• Serve as a point of contact for physicians, department leaders, and stakeholders regarding application progress, missing items, and approval status.</p><p>• Contribute to audits, survey preparation, policy revisions, and process improvement initiatives related to medical staff services.</p><p><br></p><p><strong>Benefits: </strong>Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p><p><br></p>