Patient Access Representative (Pomona, CA, 91767) | 07/23/26 Job Description Below mentioned is the job description for your reference:

Job Title:

Patient Access Representative

Location:

Pomona, CA (91767)

Duration:

13 Weeks

XXXX:

XXXXXXXXXXX/hr Shift Details:

Day Shift:

Monday

• Friday (5x8 Hours)
  

Timing:

(7:00 am

• 330 pm ; 730am
• 400pm ; 800 am
• 430pm ; 830 am
• 5 pm)

Required Qualifications:

High School Diploma or GED Required

1-3 years in hospital accounts receivable, medical collections follow up, or healthcare collections.

Required skills:

Collections for facility claims

• all lines of business
  Knowledge of hospital billing processes, CPT/ICD codes, and DRG reimbursement.

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

Strong communication skills for payer interactions.

Proficiency in hospital billing and follow up systems and Microsoft Office.

Attention to detail and ability to analyze claim denials and payment variances.

Review hospital accounts receivable aging reports and prioritize collection efforts.

Contact insurance carriers to collect outstanding balances and resolve issues.

Knowledge in follow up for institutional claims ( UB04)

Investigate and appeal denied or underpaid claims to maximize reimbursement.

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

Document all collection activities in the hospital's system

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

Obtaining Eligibility via website/insurance portals, insurance customer service

Dress Code:

Business Casual