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2 results for Customer Service in Sacramento, CA

Customer Resolution Specialist

Sacramento, CA
remote
Temporary / Contract
22.22 - 24 USD / Hourly
We are looking for a Customer Resolution Specialist to support patient and payer account service operations in Sacramento, California. This Long-term Contract opportunity is ideal for someone who can manage billing-related questions, account follow-up, and balance resolution with accuracy and professionalism. The person in this role will help customers understand charges, coverage, and payment options while ensuring work is completed in line with healthcare billing standards and internal procedures. Responsibilities: • Address customer questions related to hospital and billing services that require close attention to detail, including statements, payments, benefits, eligibility, and coverage details. • Review patient accounts and complete appropriate account corrections, approved adjustments, and contractual write-offs based on account findings and payer guidelines. • Follow up on self-pay balances by contacting patients, guarantors, or other responsible parties to secure payment or establish suitable payment arrangements. • Investigate and resolve account issues involving authorizations, explanations of benefits, and outstanding balance concerns across assigned accounts. • Evaluate accounts for financial assistance eligibility and complete presumptive charity reviews when applicable. • Transfer qualifying accounts for bad debt processing in accordance with departmental standards and timelines. • Maintain accurate documentation by recording account activity, action codes, and follow-up outcomes for each interaction. • Apply working knowledge of payer rules, reimbursement practices, and department procedures to ensure compliant account resolution. • Meet daily productivity expectations while managing account workload efficiently and supporting additional customer care tasks as needed.
2026-07-21T00:00:00Z

Patient Account Representative

Sacramento, CA
onsite
Temporary to Hire
22 - 24 USD / Hourly
We are looking for a Patient Account Representative to support revenue cycle operations for healthcare accounts in Sacramento, California. This contract opportunity is ideal for someone who can balance accurate claim follow-up, strong payer knowledge, and responsive service when working with patients, providers, and insurance representatives. The person in this role will help resolve billing and reimbursement issues, monitor payment accuracy against contracted terms, and keep account activity moving forward in a fast-paced environment. Responsibilities: • Manage follow-up activities for patient accounts involving Medi-Cal and other insurance plans to drive timely resolution and payment. • Review reimbursements against Medicare, Medi-Cal, and other payer agreements to confirm payments are processed at the correct contracted rates. • Complete assigned NextGen work queues in accordance with departmental policies and established turnaround expectations. • Submit account correction requests when adjustments are warranted and ensure documentation supports each change. • Respond to inquiries from patients, clinics, physicians, and insurance carriers with clear and effective communication. • Prepare and file first- and second-level appeals for denied, unpaid, or underpaid claims, and route higher-level appeals for review before submission. • Process claim billing, including adding required chart notes, referrals, or other supporting records when necessary. • Research eligibility, authorization, and insurance coverage details for preemie-related claims before billing activity begins. • Resolve straightforward denial work items, post share-of-cost updates when patients pay directly, and escalate payer-specific concerns or trends to leadership.
2026-08-06T00:00:00Z