---
title: Patient Account Specialist I
description: North East Medical Services is hiring for the Patient Account Specialist I role
  in Daly City, CA. See the full description and apply.
type: job
url: https://www.foundrole.com/jobs/patient-account-specialist-i-at-north-east-medical-services-01a162eb-1974-7610-b442-cd64c681706c
date: 2026-11-15T01:26:44Z
og_description: Join North East Medical Services as Patient Account Specialist I in Daly City,
  CA. Pays $32.08–$36.15 per hour.
og_image: https://www.foundrole.com/og/u1b07e.png
breadcrumbs:
  - label: Home
    url: https://www.foundrole.com/
  - label: Search
    url: https://www.foundrole.com/jobs
---

| | |
|---|---|
| **Company** | North East Medical Services |
| **Location** | Daly City, CA |
| **Salary** | $32.08/hr - $36.15/hr |
| **Posted** | Oct 21, 2026 |

## Is this job real?

**Ghost job check:** A · Low risk. Probably a real opening.

## Visa sponsorship

- **H-1B:** North East Medical Services sponsors H-1B visas. It filed 13 H-1B petitions (FY2026 Q1 – FY2026 Q4).
- **E-Verify:** No E-Verify enrollment on record for North East Medical Services.

## Pay for similar jobs

Most similar jobs pay $53,000 – $82,000 a year (median $61,000).

## Description

The Patient Account Specialist I interprets EOBs for correct payment verification, adjustments, and denials. The Patient Account Specialist I is also responsible for handling outstanding claims on aging reports and resolving patient inquiries regarding billing statements and insurance overage-related matters. The Patient Account Specialist I has to maintain up-to-date knowledge about CPT, ICD-10 CM, billing regulations, and payers' requirements. The Patient Account Specialist I has to comply with HIPAA guidelines and maintain confidentiality regarding patient account status and the organization's financial affairs.

# **ESSENTIAL JOB FUNCTIONS:**

- Reviews, edits, processes, and submits **electronic and hardcopy claims** to various payers (Medicare, Medicaid, Managed Care, and Private Insurance) for **FQHC (Federally Qualified Health Centers)** and **FFS (Fee-For-Service)** reimbursement, ensuring accuracy of payment entries and completeness of charge capture information.
- Maintains up-to-date knowledge of **medical billing requirements** for FQHC Medi-Cal, Medicare, state, local programs, and private insurance payers.
- Reports issues or payment trends (e.g., charges applied to the wrong visit, incorrect billing codes) to the supervisor for resolution.
- Edits charge/claim details and corrects submission errors to ensure accuracy.
- Researches and resolves outstanding claims on **aging reports** to minimize delays in reimbursement.
- Responds to **payer requests and remittance advices** promptly and professionally, including phone calls, letter responses, appeals, and submission of medical records or additional information as required.
- Under the guidance of the **Patient Account Specialist II**, addresses patient inquiries and billing complaints by making necessary adjustments, exploring all options to secure claim payments, referring complex issues to appropriate staff, and ensuring proper follow-up.
- Posts charges and submits claims for **NEMS physicians’ hospital visits**.
- Provides **training and support** to the Billing Department and front desk staff in Member Services, Medical, Dental, Optometry, Laboratory, and Radiology Departments.
- Adheres to policies and procedures for **billing records retention**.
- Acts as a **liaison** between physicians, insurance companies, and third-party organizations by processing and verifying invoices, ensuring claim reimbursements, and auditing patient accounts.
- Performs additional duties as assigned by management.

- Completion of an AA/AS degree is required, and a 4-year university diploma is preferred or maybe substituted with a minimum of 3 years of work experience in healthcare.
- Working experience in a healthcare or FQHC setting is preferred
- Working experience with Epic PB Resolute is preferred
- Familiar with Medicare, Medicaid, Private insurances, Managed Care (HMO & PPO), CPT, and ICD-10 CM
- Must have excellent analytical and communication skills
- Must be proficient in computer skills
- Ability to write business correspondence
- Strong organizational skills to coordinate multiple, varied billing processes simultaneously
- Upholds high customer service standards in a demanding and complex health care organization
- Demonstrates initiative, resourcefulness, integrity and dedication to timeliness to achieve high customer satisfaction levels
- Self-motivated, diligent, organized, resourceful, responsible, and enthusiastic  
 

# **LANGUAGE:**

- Proficient in written and spoken English and Chinese (Cantonese and/or Mandarin)
- Fluent in other languages is an asset  
 

**STATUS:**

- This is an FLSA Non-exempt position.
- This is not an OSHA high-risk position.
- This is a Full Time position.

NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).
## Skills

- Epic EHR
- Self-Motivation
- Records Retention
- Medical Records
- Accounts Receivable
- Managed Care
- Medical Billing
- Health Insurance Portability And Accountability Act (Hipaa) Compliance
- Chinese
- Charge Capture
- Customer Satisfaction
- Mandarin Chinese
- Initiative
- Billing
- Business Correspondence
- Icd-10 Coding
- Appeals
- Medicare
- Auditing
- Fee-for-Service
- Federally Qualified Health Center (Fqhc)
- English
- Organizational Skills
- Denials Management
- Communication
- Customer Service
- Medicaid
## Benefits

- Health Insurance
- Dental Insurance
- Vision Insurance
- 401(k) Plans

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