We are seeking an experienced Patient Accounts Representative to join its Patient Accounts team. This individual will be responsible for managing the full revenue cycle billing process, from claim preparation and submission through accounts receivable (AR) reconciliation, denial follow-up, and credit balance resolution.

The Patient Accounts Representative will work closely with the Director and Assistant Director of Patient Accounts, as well as the Patient Accounts, Medical Records, and Social Work departments. The ideal candidate is detail-oriented, proactive, and capable of independently managing multiple priorities while meeting deadlines and helping reduce outstanding AR balances.

Key Responsibilities:

• Perform full-cycle hospital facility billing and revenue cycle functions.
• Prepare, submit, and process insurance claims from start to finish.
• Reconcile accounts receivable accounts and review aging trial balances.
• Investigate, pursue, and resolve denied claims.
• Identify and resolve outstanding credit balances.
• Monitor outstanding accounts and implement appropriate follow-up to reduce AR balances.
• Process claims for Medicaid fee-for-service (FFS), managed care organizations, and commercial insurance payers.
• Assist with Medicaid applications, as needed.
• Collaborate with internal departments to resolve billing discrepancies and ensure timely claim processing.
• Manage multiple priorities independently while maintaining accuracy and meeting established deadlines.
• Communicate effectively and professionally with individuals across departments and with varying levels of billing and insurance knowledge.

• 2+ years of full-cycle hospital facility billing experience.
• Demonstrated knowledge of Medicaid FFS, managed care organizations, and commercial payer claims processing.
• Experience managing full-cycle Patient Accounts Representative responsibilities, including claims submission, AR reconciliation, denial management, and credit balance resolution.
• Strong organizational, time-management, and problem-solving skills.
• Ability to manage multiple priorities, work independently, take initiative, and consistently meet deadlines.
• Strong written and verbal communication skills.
• High school diploma or equivalent required; an associate’s or bachelor’s degree is preferred.

• Experience completing Medicaid applications.
• Bilingual English/Spanish communication skills.
• Additional college education or relevant coursework in healthcare billing, medical claims, or revenue cycle management.

Ideal Candidate:

The ideal candidate is a dependable, self-motivated billing professional who can take ownership of their workload with minimal supervision. They should be comfortable managing claims from start to finish, identifying and resolving billing issues, following up on outstanding accounts, and communicating proactively with leadership and internal departments.

We will provide training; however, prior experience with Medicaid and commercial insurance providers, along with full-cycle patient accounts responsibilities, is required. Candidates who do not meet the minimum qualifications will not be considered.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.