MemorialCare Health System was founded in 1997 in Fountain Valley, California. With additional locations throughout California, the nonprofit organization opera
Patient Account Rep Senior
Location
California
Posted
3 days ago
Salary
$25 - $36 / hour
Seniority
Entry Level
Job Description
Patient Account Rep Senior
MemorialCare Health System
Location: Fountain Valley United States Job Description: Job Description - Patient Account Rep Senior (MEM009839) Job Description Patient Account Rep Senior - (MEM009839) Description Title: Patient Account Rep Senior Location: Fountain Valley Department: MCSS Patient Accounting Status: Fulltime Shift: Days/Predominantly Remote (8hr shift) Pay Range: $25.22/hr - $36.57/hr Additional Perks of position: - Remote Work/Work from Home - Monthly Bonus/Incentive Program - Internet/Wireless Expense Reimbursement At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork. Position Summary: Commercial and Managed MCAL Patient Account Representative, Senior is responsible for all Commercial and Managed MCAL insurance collections of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible. This position takes ownership of their accounts and eliminates barriers to ensure timely and correct payment including involvement with payors upper management, when necessary. This position will have working knowledge and understanding of Commercial managed care and Managed MCAL contracts including other complex payment methodologies to ensure prompt and accurate reimbursement. This position must be able to utilize and understand many complex and varying State and Federal statutes and regulations, guidelines, and systems, and perform the account follow-up function with all Commercial payors, Managed MCAL payors and government agencies to obtain maximum and correct reimbursement of accounts receivables. This position proactively works with all payors and internal resources to identify and resolve issues that hinder account payment. Applies independent judgment, research, and knowledge to audit Commercial and Managed MCAL payor payments, denials, appeals and billing issues. This position offers you the opportunity to work from home (WFH) after all training has been completed. Once completed you will need to be available to come into the office for additional training, meetings etc., as needed. Essential Functions and Responsibilities of the Job - Ability to provide prompt and courteous customer service to all internal and external customers. - Ability to use critical thinking to research, review, and follow-up on all accounts. - Ability to communicate effectively in verbal and written form. - Ability to analyze documentation and resolve patient, billing and/or collection issues appropriately and timely. - Ability to work independently with minimal supervision. - Ability to identify and analyze problems in a timely manner and independently initiate appropriate actions to resolve problems or issues. - Able to be at work and on time, follow organization rules and procedures and directions from a Coordinator/Lead or other member of the Management staff. - Adheres to all confidentiality policies and procedures and carries out all tasks in a pleasant and respectful manner. - Ability to make suggestions for enhancements throughout the department and continually seeks opportunities to improve current policies, procedures, and practices. - Ability to recognize and perform essential duties and help others or perform other required tasks when own assignments are completed. Performs other duties as assigned by management. - Ability to use critical thinking while reviewing billing and collection notes in the financial computer system to ensure that the appropriate action is taken within the billing and collection process and to ensure correct hospital reimbursement. - Be at work and be on time. - Follow company policies, procedures, and directives. - Interact in a positive and constructive manner. - Prioritize and multitask. Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards. Qualifications Experience - Minimum 1 year hospital business office experience (required) - Acute Care Hospital Collections experience (required) - Understanding of managed care (PPO, HMO, Medicare Advantage and Managed Medi-Cal) insurance collection processes including denial resolution and appeals (required) - Excellent interpersonal skills - Positive work ethics - Bi-lingual preferred - Knowledge of medical terminology and coding - Written and verbal communication skills to meet productivity standards. - Microsoft Office and Outlook experience Education - High School diploma, GED equivalent, preferred. - Business-related courses preferred. - AA Degree or medical field certificate, preferred. Primary Location : United States-California-Fountain Valley Job : Patient Financial,Claims,Bill Organization : Memorial Health Services Schedule : Full-time Employee Status : Regular Job Level : Staff Work Schedule: 8/40 work shift hours Shift : Day Job Scheduled Shift Start Time: 7am - Scheduled Shift End Time: 3:30pm Department Name: Patient Accounting
Related Guides
Related Job Pages
More Account Manager Jobs
• Own end-to-end client onboarding, guiding new e-commerce brands through account setup, Shopify integration, and initial fulfillment workflows. • Serve as primary point of contact for a portfolio of client accounts, managing the relationship from onboarding through ongoing steady-state support. • Proactively monitor inventory levels across client accounts, flagging restock risk and nudging clients ahead of potential stockouts. • Manage and troubleshoot Shopify storefronts and integrations on behalf of clients, resolving day-to-day platform issues. • Track account health using internal account management tools, logging open issues, statuses, and follow-ups. • Coordinate with internal ops and warehouse teams to resolve client-facing fulfillment issues quickly and clearly. • Communicate fluently in DTC/e-commerce terminology (SKUs, inventory turns, fulfillment SLAs, restock cadence) when advising clients. • Surface upsell and expansion signals to the sales team; note that CRM usage is sales-owned, not account-management-owned. • Document account processes and client preferences to maintain continuity across the client lifecycle. • Report on account health metrics, escalating at-risk accounts before they churn. • Deliver clear, professional communication across email, chat, and calls with a consistently high service standard.
• Own end-to-end client onboarding, guiding new e-commerce brands through account setup, Shopify integration, and initial fulfillment workflows. • Serve as primary point of contact for a portfolio of client accounts, managing the relationship from onboarding through ongoing steady-state support. • Proactively monitor inventory levels across client accounts, flagging restock risk and nudging clients ahead of potential stockouts. • Manage and troubleshoot Shopify storefronts and integrations on behalf of clients, resolving day-to-day platform issues. • Track account health using internal account management tools, logging open issues, statuses, and follow-ups. • Coordinate with internal ops and warehouse teams to resolve client-facing fulfillment issues quickly and clearly. • Communicate fluently in DTC/e-commerce terminology (SKUs, inventory turns, fulfillment SLAs, restock cadence) when advising clients. • Surface upsell and expansion signals to the sales team; note that CRM usage is sales-owned, not account-management-owned. • Document account processes and client preferences to maintain continuity across the client lifecycle. • Report on account health metrics, escalating at-risk accounts before they churn. • Deliver clear, professional communication across email, chat, and calls with a consistently high service standard.
• Manage a regional portfolio of accounting firms – covering cold outbound, warm inbound, and active referrers – moving each firm through the pipeline to become a repeat new client introducer. • Build trust and credibility through a consultative approach, positioning Allica as the most recommended bank by accountants. • Grow Allica’s presence across each firm, including multiple stakeholders, colleagues and offices, through regular regional travel and in-person meetings. • Introduce the Business Rewards Account and other banking products to firms and their clients, owning the end-to-end onboarding, funding and account usage journey. • Qualify and introduce clients with lending needs (e.g. commercial mortgages) to the appropriate Relationship Manager. • Act as the firm’s dedicated point of contact at Allica. • Deliver and continuously improve our Accountants Playbook, ensuring firms are positively onboarded and become active, repeat referrers. • Run regional activities - lunch and learns, roundtables and various other events. • Equip firms with an effective Partnerships Pack, marketing materials and joint initiatives to support client identification and introduction. • Maintain accurate portfolio records in the CRM, tracking and reporting on progress to support quality and informed decision-making. • Collaborate closely across Allica to ensure a seamless, professional experience for partners and customers.
Role Description PolyAI is searching for a GTM Manager to lead and scale our business development function, reporting into our GTM leadership team. In this role, you will drive pipeline generation by coaching and developing a high-performing GTM team, refining prospecting and qualification strategies, and partnering closely with Sales and Marketing to improve conversion across the funnel. In this role your responsibilities will include: - Train other members of the GTM/BD team to identify, contact, and create qualified opportunities - Ensure GTM/BD team members improve performance and abilities over time by providing coaching and feedback in recurring weekly 1:1s - Plan for hiring and onboarding new GTM/BD team members - Work closely with the Demand Gen team to provide feedback on MQLs and campaigns - Work closely with Sales and other members of the Leadership team to improve opportunity management and qualification processes - Work closely with Sales and Marketing to identify areas of improvement for the GTM/BD teams - Work in collaboration with marketing content, program managers, product marketing, and sales directors to develop effective messaging to convert both inbound interest and outbound outreach into qualified pipeline - Present accurate and timely performance reports and forecasts of weekly, monthly, quarterly attainment - Monitor and manage GTM/BD team performance and make recommendations for improvement - Oversee GTM/BD compensation programs and policy Qualifications - Minimum 5-7 years of experience in a BDR management role with experience leading and growing a BDR team in a hands-on management/player-coach capacity. - Track record of achieving lead generation quotas within a company selling enterprise B2B software (SaaS) and/or technology solutions. - Hands-on experience with multiple prospecting techniques and channels. - Experience with marketing & sales tools such as CRM, Chat, Marketing Automation, LinkedIn Sales Navigator, HubSpot and Data Management and list building tools. - Strong verbal and written communication skills with the ability to deliver presentations to executive management. Requirements - Gravitas combined with exceptional and polished written and oral communication skills - Entrepreneurial spirit combined with a scrappy, competitive, and optimistic outlook Benefits - 💰 Participation in the company’s employee share options plan - 🏥 100% of Single Cost (employee) and 70% of Dependent for medical, dental & vision - 👪 Life Insurance - ◻️ STD and LTD - 💰 The opportunity to contribute to the company's 401k plan - 🏝 Flexible PTO policy + 11 designated company holidays - 📚 Annual learning and development allowance - 🏡 We’re all about making WFH work for you - that’s why we offer a one-off WFH allowance when you join. Offering perks like noise-cancelling headphones or a comfortable desk chair to boost your comfort and focus! - 🧡 Enhanced parental leave - 👨👩👧 Company-funded fertility and family-forming programmes - 🌸 Menopause care programme with Maven
