Non-Clinical - Administrative - Patient Services Representative (Pomona, CA, 91767) | 08/31/26 Job Description The job description for your reference is below for your review:

Job Title:

Patient Services Representative Location:

Pomona, CA (91767)

Duration:

13 weeks

Working Schedule:

Day Shift || Monday through Friday (8:30 AM to 5:00PM)

Job Summary:

Responsible for scheduling patients and providing administrative support in a hospital or medical office setting.

Review hospital accounts receivable aging reports and prioritize collection efforts.

Contact insurance carriers to collect outstanding balances and resolve issues.

Follow up on institutional claims (UB04).

Investigate and appeal denied or underpaid claims to maximize reimbursement.

Coordinate with other departments, such as the billing team, to resolve discrepancies.

Document all collection activities in the hospital's system.

Ensure compliance with HIPAA, hospital policies, and state/federal regulations.

Obtain eligibility through websites, insurance portals, and insurance customer service.

Responsibilities:

Knowledge of hospital billing processes, CPT/ICD codes, and DRG reimbursement.

Familiarity with payer guidelines such as Medicare, Medi-call and commercial payers.

Strong communication skills for payer interactions.

Proficiency in hospital billing systems and Microsoft Office.

Attention to detail and ability to analyze claim denials and payment variances. Experience 1-3 years in hospital accounts receivable, medical billing, or healthcare collections. Education High school diploma or GED required.