PT BILLER Customer Services & Collections

Overview

Job Summary:

This position is responsible for assisting with the overall operational processes and functions of the hospital and professional Billing Unit. Resolve credit balances by determining accurate contractual postings and make corrections to reconcile the account and/or refund over payment. Responsible for payment posting, reconciliation and reports to ensure posting accuracy. May be asked to work special projects. This position may also perform office duties consistent with that of Patient Biller 3, per operational needs.

Apply By Date: 2/6/2026 at 11:59 pm – Interviews and recruiting process may occur at any time.

• High School Diploma or GED equivalency.
• Several years of recent, advanced and demonstrated billing and collections experience in a health care environment.
• Knowledge of Medi-Cal, Medicare, and Commercial Plans is required.
• General knowledge of Current Procedural Terminology (CPT), Insurance Classification of Disease (ICD-10) and NCCI Edit policies related to medical billing.
• Ability to analyze and interpret various operational reports to identify problematic trends, and other performance barriers.
• Tact and diplomacy skills to constructively assist with training and coaching new and existing staff to improve staff performance.
• Ability to analyze and interpret various types of Explanation of Benefits (EOB) and Remittance Advice (RA).
• Analytical skills to assess account balances and make determinations/decisions on further action.
• General knowledge of medical terminology to correlate reports to actual charges and to determine the appropriateness of denials.
• General knowledge of credit and collection practices.
• Ability to read and comprehend department policy, as well as internal and external correspondence.
• Written and verbal communication skills with the ability to effectively convey complex information in a clear and concise manner in both internal and external correspondence.
• Communication skills to appropriately respond in a timely manner to account inquiries, both in person and via email to internal and external customers.
• Problem-solving and judgment skills to research, analyze, and resolve or recommend alternatives to problematic situations.
• Ability to work independently.
• Ability to work cooperatively and constructively with employees and Administration.
• Ability to work accurately and timely under pressure to meet production standards and deadlines established by the department, government programs, and commercial insurance carriers.
• Ability to be flexible in a quickly changing environment with variable deadlines and priorities.
• Ability to follow verbal and written instructions.
• Proofreading skills to identify and correct own errors and that of staff.
• Ability to organize and maintain accurate files on internal unit processes and departmental standards guidelines.
• Ability to organize and prioritize tasks.
• Knowledge of basic accounting practices.
• Ability to meet production and quality standards and requirements.
• Call Center Experience in a Healthcare setting.
• Ability to meet production and quality standards and requirements.

• Knowledge of Medical Terminology. Experience with using electronic medical records system.

• 70% - Interpersonal Skills Standards
• 15% - Managing Work queues
• 5% - Training Staff
• 10% - Adjusting

The Patient Billing Customer Service is a department within the Financial Services Division. This department acts as the liaison between the patient and the Health System for responding to all patient inquiries regarding the Hospital, CPG and Professional billing for services received as the Health System, as well as timely follow-up of all self-pay and bad debt accounts.

The Patient Biller 4 works in a fast-paced healthcare customer service environment that may include a combination of office-based, remote, or hybrid settings, depending on departmental needs. The role involves frequent interaction with patients, clinical staff, and internal departments through telephone, in-person meetings, video conferencing, and electronic correspondence.

The work environment requires the ability to manage high call volumes, meet productivity and quality standards, and handle sensitive or confidential information in compliance with HIPAA and organizational policies. The position involves prolonged periods of sitting, computer use, and telephone communication, with occasional in-person interactions. Flexibility, professionalism, and adaptability are essential due to evolving workflows, system updates, and regulatory requirements.

• Salary or Pay Range: $31.24 - $38.82
• Salary Frequency:
  Hourly
• Salary Grade: 100
• UC
  
  Job Title:
  
  PAT BILLER 4
• UC Job Code: 004662
• Number of Positions: 5
• Appointment Type:
  Staff:
  Career
• Percentage of Time: 100%
• Shift (Work Schedule): 8:00-4:30, Monday - Friday
• Location:
  
  Patient Contact Center (HSP
  166)
• Union Representation: EX-Patient Care Technical
• Benefits Eligible:
  Yes
• This…