Randstad Patient Billing Resolution Rep (On-Call) in Pasadena, California

Patient Billing Resolution Rep (On-Call)

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job details:

  • location:Pasadena, CA

  • salary:$14 - $16 per hour

  • date posted:Tuesday, October 10, 2017

  • job type:Contract

  • reference:398647

  • questions:818-299-9300.

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Patient Billing Resolution Rep (On-Call)

A large healthcare organization seeking an on call Patient Billing Resolution Rep in the Pasadena area.

The Patient Billing Resolution Rep is responsible for resolving North, South, and Out of Region customer's billing issues / disputes within the collections call center and research environment. Skills required for this Patient Billing Resolution Rep include analyzing account data, research and verification utilizing multiple systems, multi-tasking and communicating with internal and external customers. Also, resolves outstanding receivables through direct payment, payment negotiation, bad debt write off, revenue reversals and agency assignment for Self-Pay accounts.

Essential Functions:

  • Handles high volumes of in-bound calls and meets established metrics and goals.

  • Responds to incoming communications including correspondence, inquiries from patients, guarantors, third parties, attorneys and other facilities or departments regarding accounts.

  • This includes timely response to grievances and other regulatory concerns.

  • Follows-up and performs collection of outstanding balances on accounts.

  • Makes recommendations to refer accounts to appropriate parties for issue resolution such as other Collection Teams, Member Services, MFA Unit, etc.

  • Evaluates account status by utilizing manual information sources and/or work queues.

  • Maintains accurate account information by updating accounts receivable systems and department databases.

  • Gathers information and makes recommendations related to adjustments of uncollectible balances and processes account appropriately.

  • Identifies credits balances and route accounts to appropriate work queues.

  • Identifies and communicates suggestions for improving department processes, procedures and customer relations via the appropriate forums within this organization.

  • Performs other duties as assigned.

  • Complies with legal and ethical requirements to protect patient, employee and confidentiality.

  • Upholds Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.

  • Ensures compliance with applicable local, state, and/or federal laws and regulations, including organization policies and procedures.

  • Note: Internal PFS candidates may have job advancement opportunities via the PFS Career Ladder, and should consult with their supervisor and/or manager.

Basic Qualifications:


  • Minimum two (2) consecutive years of customer service experience within the last four (4) years.

  • Minimum two (2) consecutive years of collector or biller experience within the last four (4) years.


  • High school diploma and/or GED.

License, Certification, Registration

  • N/A

Additional Requirements:

  • Knowledge of billing and collection rules, regulations and other pertinent payer specific requirements.

  • Proficient with patient accounting and computerized collection systems and use Windows operating system and Microsoft Office Applications (WORD, EXCEL, etc.).

  • Problem solving skills.

  • Ability to read, write and perform mathematical computations at a high school level.

  • Above average active listening, communication (verbal and written), and persuasion skills, along with exceptional customer service skills.

  • Must be able to sit at a computer screen and keyboard for extended periods of time.

  • Ability to lift 10 lbs.

  • Ability to handle rapid and high incoming call volumes for extended periods of time and use a headset.

  • Ability to work well in a team environment and within the Labor Management Partnership guidelines and effectively participate in Unit Based Teams.

Preferred Qualifications:

  • Customer service experience in a call center environment preferred within a healthcare environment.

  • AA degree in business, or certification in insurance billing or collections issued by an accredited institution.

  • Knowledge of all health care collections lines of business.

  • Multi-lingual.

Apply directly or email elle.hall@randstadusa.com or call 818-299-9319

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.