Patient Account Specialist - Financial Assistance

Position Summary
This is a full‑time, benefit‑eligible position located in San Diego. The role is partially remote and requires one day on site. Flexible hours from 6 a.m./8 a.m. to 2:30 p.m./4:30 p.m.

Responsibilities

Responsible for billing and follow‑up tasks relating to claims processing.

Contact responsible parties to resolve past‑due accounts.

Investigate account status and initiate collection.

Submit claims and follow up with payors to achieve account resolution.

Identify problem accounts with payors, investigate and correct errors, follow up on missing account information, and appeal unpaid and denied claims.

Work directly with insurance companies, healthcare providers, liable third parties and patients to get claims processed and paid.

Support continuous improvement of organizational processes and personal knowledge and skills.

Maintain and protect confidential information.

Provide excellent customer service through cooperative working relationships.

Meet productivity and quality standards.

Qualifications

Strong working knowledge of managed care plans, insurance carriers, government payers and payer requirements.

Knowledge of medical terminology and Medicare compliance.

Familiarity with HIPAA privacy requirements for patient information.

Basic understanding of DRGs, medical ICD‑9/ICD‑10 codes and CPT/HCPCS codes.

Ability to multitask, stay organized, and prioritize work; good verbal and written communication skills.

Detail oriented with moderate level of interpersonal, problem‑solving, and analytic skills.

Knowledgeable on insurance and reimbursement processes.

Ability to establish and maintain cooperative working relationships with staff, medical staff, and providers.

Preferred: Two years of patient accounts experience in a healthcare setting.

Preferred: Epic experience.

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