Job Description

Patient Service Representative Medicare III

Category:  Patient Accounting

Management: No

Schedule: Full Time 7:00 am - 3:30 pm

Reports To: Patient Accounting Supervisor

Summary: 

  • The PSR III B performs follow-up to all duties relative to the patient account with HMO's, PPO's government and third party payor coverage ensuring prompt and accurate payments.

Requirements: 

  • Knowledge of Medicare, Medi-Cal, Commercial HMO/PPO billing guidelines and collection follow-up.
  • Managed Care billing and collection laws and regulations. Familiarity with managed care contracts and reimbursement.
  • Ability to work independently, and do timely follow up on aged receivables and utilize problem solving skills to get claims paid.
  • Minimum of 3-5 years experience in acute hospital setting.
  • Must have good communication, telephone and good customer service skills.
  • Must be able to take instructions and follow through appropriately.