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 Hospital - Whittier, PIH Health Hospital - Downey and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, women’s health, urgent care and emergency services. The organization is recognized by Watson Health as one of the nation’s Top Hospitals, and College of Healthcare Information Management Executives (CHIME) as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. PIH Health is certified as a Great Place to Work TM. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

This position under the supervision of the Government Billing Manager, this position is responsible for the timely and accurate follow-up of unpaid Medicare inpatient and outpatient accounts for issues related to coordination of benefits or Medicare as secondary, or primary related denials. This includes identification and processing of appropriate MSP guidelines, follow up with patient, employers and health insurance carriers for coordination of benefits, accurate and timely resolution of outstanding COB, MSP related issues.  Meet and exceed the minimum productivity volume, and standards of work as defined within the departmental policies and procedures.

Required Skills

• Excellent verbal and written communication 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

PREFERRED:

Two years college preferred.  Minimum two years in hospital with basic Medicare billing and follow up knowledge required.  Knowledge of MSP, ESRD and health insurance COB billing requirements and regulations. Evidence of continuing education preferred. Familiarity with commercial third party billing requirements. Current CPAT (Certified Patient Account Technician) certification required. 

Beyond the benefits that come with working for the area's leading community healthcare provider – one that also recognizes the need to ensure patient safety and comfort – you'll enjoy an extremely competitive compensation and benefits package.  We are an equal opportunity employer and seek diversity in our workforce.   EOE M/F/D/V

• Excellent verbal and written communication 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.