Patient Accounts Specialist

Job description

What You’ll Do
The Patient Accounts Specialist supports billing and account follow-up work. Works collaboratively within the Patient Accounts team to make sure all visits and services are billed as accurately and timely as possible.
Key Performance Responsibilities:
• Generate daily report on open patient balances and call patients with balances greater than $2500. Determine the most appropriate follow-up time based on statement release date.
• Collaborate with patients/guarantors to ensure timely payment or coordination of a payment plan as needed.
• Complete patient refund request(s) with management approval in a timely manner and send to Accounts Payable.
• Work closely with third-party billing system to ensure communication on all payer contract changes or new billing requirements to enhance the accuracy and ease of claims billing.
• Work closely with patients, guarantors and families to answer questions about insurance issues, claims processing/adjudication information and advocate for payment with insurance payers.
• Provide exceptional customer service to external customers as well as internal customers.
• Work closely with Utilization Review (UR) when services are denied for no authorization, out-of-network or require UR to provide clinical information to an insurance payer.
• Provide as much direction as appropriate in guiding patients, guarantors and families of how to work with their insurance companies to get accurate and specific benefit information.
• Process insurance refunds, after review by the Supervisor, Patient Financial Services.
• Cross train with other positions within the Revenue Cycle department to provide good cross-coverage and support for absences and vacations.
• Perform a variety of clerical activities related to patient billing and accounts.
• Perform other duties as assigned.

What Makes You a Great Fit
Education, Experience, License Requirements:
• Prefer 2-year associate’s degree in accounting, business administration, or related field; or equivalent work experience
• Requires 3 or more years of prior claim submission (billing) requirements with a working knowledge of CPT/HCPCS codes, REV codes, ICD-10 Diagnosis codes and regulatory requirements.
• Requires prior medical accounts receivable experience, working with insurance companies and patients regarding claim submission and payment activities.
• Ability to read and understand payer remittance advice, the patients' Explanation of Benefits and other payer related communications.
• Keyboarding skills and basic math skills.
• Excellent customer service and communication skills are critical, including the ability to maintain courteous and respectful customer service in highly charged emotional conversations.

Compensation Range: $20.60- $28.85 per hour
The Patient Accounts Specialist supports billing and account follow-up work. Works collaboratively within the Patient Accounts team to make sure all visits and services are billed as accurately and timely as possible.
Key Performance Responsibilities:
• Generate daily report on open patient balances and call patients with balances greater than $2500. Determine the most appropriate follow-up time based on statement release date.
• Collaborate with patients/guarantors to ensure timely payment or coordination of a payment plan as needed.
• Complete patient refund request(s) with management approval in a timely manner and send to Accounts Payable.
• Work closely with third-party billing system to ensure communication on all payer contract changes or new billing requirements to enhance the accuracy and ease of claims billing.
• Work closely with patients, guarantors and families to answer questions about insurance issues, claims processing/adjudication information and advocate for payment with insurance payers.
• Provide exceptional customer service to external customers as well as internal customers.
• Work closely with Utilization Review (UR) when services are denied for no authorization, out-of-network or require UR to provide clinical information to an insurance payer.
• Provide as much direction as appropriate in guiding patients, guarantors and families of how to work with their insurance companies to get accurate and specific benefit information.
• Process insurance refunds, after review by the Supervisor, Patient Financial Services.
• Cross train with other positions within the Revenue Cycle department to provide good cross-coverage and support for absences and vacations.
• Perform a variety of clerical activities related to patient billing and accounts.
• Perform other duties as assigned.