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Patient Account Rep, Denials

Vaco by Highspring -
Los Angeles, CA

Quick Apply

Job Details

Temporary
$25 - $27 an hour

Qualifications

Appeals
Contract management
Commercial insurance knowledge
Health insurance policy knowledge
State healthcare regulations
Case appeal in utilization management
Medical billing regulations compliance
Insurance claims appeal handling
Hospital experience

Full Job Description

Patient Account Representative, Denials

Employment Type: Temporary (conversion potential)
Location: Torrance, CA (fully onsite)
Pay: $25-27/hr DOE

Overview

We are placing a Denials Patient Account Representative on behalf of a well-established community hospital in the South Bay area. This is a temporary engagement with strong potential for extension and conversion to a permanent role. Reporting to the Director of Revenue Cycle, this person will be responsible for working and appealing commercial insurance denials and supporting the broader revenue cycle team. The organization is actively building out a dedicated denials function, making this a great opportunity to grow within a high-performing team.

Key responsibilities

Execute the full denial appeals process including receiving, assessing, documenting, tracking, and resolving appeals with third-party payers
Analyze denial reason codes and determine appropriate appeal strategy for each claim
Draft and submit formal written appeals within payer-required timelines
Utilize the hospital's contract management system to identify accounts paid below expected reimbursement
Maintain data on denial types and root causes and collaborate with team members on process improvements
Interpret patient insurance benefit information and explain payer determinations clearly
Prepare and assist with reports as required by management
Partner with internal departments and external organizations to resolve outstanding appeals

Qualifications and requirements

Minimum 2 years of experience in healthcare billing, collections, or denials management
Bachelor's degree in business, healthcare, or a related field; or Associate's degree with 3+ years of patient financial services experience
Hospital-specific background required; physician group or clinic-only experience will not be considered
Strong working knowledge of commercial payer contracts, appeal timelines, and denial codes
Experience writing and submitting successful payer appeals
Proficiency in Oracle Splash preferred; Epic or equivalent revenue cycle software acceptable
Knowledge of state and federal regulations related to billing and the appeals process
Ability to work on-site five days per week in Torrance

EEO Notice

Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [email protected].

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.

Representation Notice

By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

For residents of Ontario, Canada: Based on Highspring’s discussions with its Client, Highspring’s understanding is that this position for employment is a current vacancy (either through Highspring as a contractor or with the client directly).

Privacy Notice

Vaco by Highspring and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco by Highspring”) respects your privacy and are committed to providing transparent notice of our policies.

California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here.
Virginia residents may access our state specific policies here.
Residents of all other states may access our policies here.
Canadian residents may access our policies in English here and in French here.
Residents of countries governed by GDPR may access our policies here.

Additionally, submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied. More details about Vaco by Highspring’s use of AI can be found here (https://www.highspring.com/ai-use-notices/). Further assessment of candidates beyond this initial phase will be conducted by recruiters and hiring managers. Vaco by Highspring does not know and cannot opine on if its client’s use of AI products in hiring.

Pay Transparency Notice

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to:

the individual’s skill sets, experience and training;
licensure and certification requirements;
office location and other geographic considerations;
other business and organizational needs.

With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.

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