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Patient Accounting Jobs in California (NOW HIRING)

Moffitt

A/R & REFUND SPECIALIST

Long Beach, CA

$20.14 - $30.70/hr

Resolution will include investigating accounts through review of the patient accounting notes, EOBs (Explanation of Benefits), and payer remittance advices, and determining if refund checks or ...

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Patient Accounting information

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How much do patient accounting jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for patient accounting in California is $21.14, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $22.79 per hour, depending on experience, location, and employer.

What is patient accounting?

Patient accounting is the process within healthcare organizations that manages and tracks all financial transactions related to patient care. This includes billing patients and insurance companies, processing payments, and maintaining accurate records of charges and outstanding balances. Patient accounting ensures that healthcare providers receive proper reimbursement for services rendered while helping patients understand their bills. It is an essential function for the financial health of hospitals and clinics.

What are the key skills and qualifications needed to thrive as a patient accounting professional, and why are they important?

To excel in Patient Accounting, you need a solid understanding of medical billing, insurance claims processing, and healthcare regulations, often supported by a degree in healthcare administration or related field. Familiarity with patient accounting software, electronic health records (EHR), and billing systems such as Epic or Cerner is typically required. Attention to detail, strong analytical skills, and effective communication are crucial soft skills in this role. These competencies ensure accurate financial transactions, compliance with regulations, and prompt resolution of patient accounts, which are essential for the financial health of healthcare organizations.

What are some common challenges faced by professionals in patient accounting, and how can they be addressed?

Professionals in Patient Accounting often encounter challenges such as managing complex billing systems, staying updated with frequent changes in insurance policies, and ensuring accuracy in patient records. These challenges can be addressed by developing strong attention to detail, regularly participating in training sessions to stay informed about industry updates, and leveraging specialized software to streamline billing processes. Additionally, effective communication with clinical staff and insurance providers is crucial for resolving discrepancies and ensuring timely payment processing.

What is the difference between Patient Accounting vs Medical Billing Specialist?

AspectPatient AccountingMedical Billing Specialist
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentHospitals, clinics, healthcare officesMedical offices, billing companies, healthcare providers
Primary ResponsibilitiesManaging patient accounts, insurance claims, payments, and account reconciliationSubmitting insurance claims, coding, and billing for services rendered

Patient Accounting and Medical Billing Specialist roles both involve handling healthcare financial processes. Patient Accounting focuses on managing patient accounts, payments, and insurance reconciliation, while Medical Billing Specialists primarily handle submitting claims and coding. Both roles require similar credentials and are found in healthcare settings, but their specific duties differ slightly, making each essential to healthcare revenue cycle management.

What are the most commonly searched types of Patient Accounting jobs in California?

The most popular types of Patient Accounting jobs in California are:

Patient Accounting jobs near you
Infographic showing various Patient Accounting job openings in California as of August 2026, with employment types broken down into 3% As Needed, 75% Full Time, 15% Part Time, and 7% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $43,973 per year, or $21.1 per hour.

Financial Charges Audit C

PIONEERS MEMORIAL HEALTHCARE DISTRICT

Brawley, CA • On-site

$20.44 - $23.73/hr

Full-time

Re-posted 7 days ago

Key responsibilities

  • Audits patient bills by comparing them to medical record charts to determine charge accuracy.

  • Coordinates with hospital departments and external auditors regarding audit findings and processes charge adjustments.

  • Maintains accurate records of account activity and provides reports on account status.

Job description

POSITION SUMMARY: The Financial Charges Audit Clerk is responsible for auditing patient bills (as directed) by comparing to the medical record chart to determine accuracy of charges.  Coordinates with all departments regarding findings of audits; this includes hospital-directed audits and third party audit requests. 

 

ESSENTIAL FUNCTIONS:

  1. Responds to and calendars all patient bill audits within the hospital utilizing hospital medical records, departmental logs, and qualified medical expertise, hospital-directed audits and/or third party audit requests. 
  2.  Works in cooperation with the HIM Department in order to audit medical record charts to patient billings.  
  3. Verifies that charges on itemized statements are valid for services rendered and the charges are accurate.
  4. Reviews for all undercharges and overcharges on all audits.
  5. Inputs into the billing system appropriate credits and debits, balances accounts, and if applicable, requests new bills and forwards them to Billing Services. 
  6. Processes necessary charge adjustments with third party representatives and serves as hospital liaison with all outside business involved in audits.
  7. Provides quality control feedback as it relates to the quality, accuracy, and timeliness of other departments as it relates to the billing process.
  8. Keep accurate records on all patients, under scope of responsibility, which includes keeping accurate information on account activity; provides appropriate file documentation as needed to maintain accurate records on status.
  9. Demonstrates an understanding of billing and follow-up policies and procedures in performing job duties and instructing patients and hospital personnel.  Routinely uses Patient Accounting Policy and Procedure Manual and other reference materials.  
  10. Responsible for reporting the status of all accounts under scope of responsibility.  This includes the timely response to all requests and inquiries by the Department Coordinators or Manager.
  11. Performs general clerical functions: answers telephones, types, compiles necessary reports and maintains filing systems for information needed to complete work within the department.   Responsible for providing weekly Financial Charges Audit Clerk Report reflecting all activity for the week. 

OTHER RESPONSIBILITIES:

  1. Utilizes the HIS Affinity System to its full capacity.  Continues to grow in the user of the computer system as its capabilities expand.
  2. Consistently responds to requests from patients for account charge settlement and related information in a timely and courteous manner.
  3. Performs similar job related duties as assigned.

 

JOB RELATIONSHIPS:

  1. Reports directly to the Patient Accounting Coordinator Billing Services.
  2. Works closely with Billing Services, Patient Financial Services staff, Compliance, Utilization Review, ancillary departments, HIM, and Information Systems.

 

EDUCATION, EXPERIENCE, AND SKILLS REQUIRED:

  1. High school education or equivalent.   Experience of three years of specialized billing and medical background is required.
  2. Mathematical ability required to review statistical data on various financial records.
  3. 10 key adding machine and typing experience is required.  Accuracy is more important than speed.  Knowledge of filing systems and copy machines.

 

AGE OF POPULATION SERVED:

Adolescent, Adult, Geriatrics

PHYSICAL REQUIREMENTS:

  1. Sits, stands, bends, lifts, and moves intermittently during working hours.  
  2. Visual and hearing acuity pertinent to communicating with customers.

MENTAL REQUIREMENTS:

  1. Communicative skills necessary to converse effectively with patients and conduct inquires regarding status activity of claims.
  2. Ability to work under pressure.   Must be able to deal tactfully and effectively with patients and third party representatives.
  3. Must possess the ability to make independent decisions when circumstances warrant such action.  
  4. Is subject to frequent interruptions.
  5. Ability to organize and prioritize work to meet deadlines.

SCHEDULING AND AVAILABILITY:

  1. Regular hours are Monday to Friday, from 8:00 a.m. to 4:30 p.m.  Some flexibility required as determined by the Patient Accounting Coordinators or Manager.
  2. This is a full time position requiring attendance at meetings, workshops, and hospital functions as determined by the Patient Accounting Manager.