Patient Accounts Representative Salary $45,438.88 - $55,377.92 Annually Location Visalia, CA Job Type Full-Time Job Number 26-034120 Department Health and Human Services Agency Opening Date 12/06/2025 Closing Date 12/15/2025 11:59 PM Pacific Description Benefits Questions This recruitment will establish an employment list to fill current and any future vacancies within the Health & Human Services Agency. The anticipated life of the employment list is six months. If interested in employment for this position for current or future vacancies, please submit an online application for consideration.Current vacancy is with the Health & Human Services Agency located in Visalia. The anticipated life of the list is six months. Typical Duties Process health insurance and private pay billings on patient/client accounts.Review records of new patients to determine classifications of coverage to be billed such as private insurance, Medi-Cal, or Medicare.Verify billing codes, request additional documents verbally or in writing to process claims, resubmit claim rejections and denials for reconsideration of payment claims.Update patient data, review charges for accuracy completeness and obtain missing information for billing purposes.Call insurance companies regarding any discrepancy in payments, if necessary.For a full list of duties for this position, please click here. Minimum Qualifications Minimum qualifications are used as a guide for establishing the education, training, experience, special skills and/or license which are required and equivalent to the following.Education: Equivalent to completion of the twelfth(12th) grade.Experience: One (1) year of experience independently billing patient accounts OR three years of responsible experience in processing patient accounts including Medi-Cal, Medicare, and private pay.Knowledge of:Basic medical terminology.Health insurance billing guidelines.Electronic billing systems.Standard office practices including filing and recordkeeping.Computer experience.Math sufficient to compute payment amounts and account balances.Skill/Ability to:Work and communicate effectively with people of various education and socioeconomic backgrounds by respecting beliefs, interpersonal styles and behaviors of both clients and co-workers.Operate contemporary office equipment inclusive of computer, keyboard, and all applicable electronic equipment.Read and understand verbal and written procedures/instructions.Establish, maintain and foster positive and harmonious working relationships with those contacted in the course of work.Communicate clearly and concisely, both orally and in writing.Write correspondence, memos and summaries of account histories using correct grammar, punctuation and spelling.Retain and recall information.Establish priorities, meet deadlines, organize workload, and work independently.Operate office and computer equipment.Type 30 words per minute accurately.Remain flexible to changes in workloads and stress of meeting deadlines.Follow verbal and written instructions.Identify and bill secondary or tertiary insurances.DESIRABLE EMPLOYMENT STANDARDSKnowledge of:ICD-9 Codes, CPT Codes, Medical terminology and FHQC billing guidelines.Skill/Ability of:Read, write and speak Spanish effectively with patients, insurance carriers, co-workers and management.License or Certificate:Medical Billing Certificate/Coding Certificate, Front/Back Office Certificate or License from a Vocational school. Additional Information Conditions of EmploymentCandidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam.College Cost Reduction Access ActThis may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-serviceEQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 1The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change.Benefit Amount: An annual benefit amount is provided and may be applied towards health insurance premiums (medical, dental, vision, and life). This benefit is pro-rated and paid on a pay period basis (24 pay periods).Health Insurance: A choice of PPO and HMO medical plans which include PPO and HMO dental plans and include dental and vision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, and Vision Services Plan (VSP).Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems.Paid Holiday Leave: 12 set days and 1 personal holiday.Vacation Accrual: 2 weeks per year (0-3 years of service)3 weeks per year (3-7 years of service)4 weeks per year (7-11 years of service)5 weeks per year (11+ years of service)Limit of 300 hours.Sick Leave Accrual: 12 days per year with unlimited accumulation, 60 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company.Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee.Deferred Compensation: A voluntary deferred compensation plan is available.To view more detailed descriptions of Tulare Countys benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. 01 The supplemental application form is an EXAMINATION. All candidates are required to complete the questions at the end of the application. The supplemental application questions will be used to select the most highly qualified candidates who will then advance to the next step in the selection process. The questions that follow will be used to evaluate the extent to which a candidate has demonstrated and applied the knowledge, skills and abilities critical to successful performance for this position. You must respond to all required questions to be considered for this position. What experience do you have working with Electronic Health Records systems or Electronic Billing Systems? Please include the name of the software used and what functions you performed in the system. 02 Discuss your experience in claim submissions for payors such as Medi-Cal, Medicare, and private insurances. 03 Please answer the following scenario questions 3-6: A claim comes back from the insurance company denied for "lack of medical necessity," but you have documentation showing the service was medically necessary. How would you handle this denial? 04 You discover after submission that the patient's date of birth was entered incorrectly, causing the claim to reject by the insurance company. What steps do you take to correct and resubmit the claim? 05 A patient has both Medicare and a commercial insurance plan. Medicare processes the claim but the secondary insurance denies it. Walk through the process of how you would resolve this. 06 You notice a claim was not submitted within the payer's timely filing limit. What actions, if any, would you take, and how would you prevent this issue from happening again? 07 What skills and/or attributes would you bring to this position that you feel would add value? Required Question Employer County of Tulare Address 2500 W Burrel Avenue Visalia, California, 93291 Phone (559) 636-4900 Website http://www.tularecounty.ca.gov