Patient account specialist

Duration - 3 Month+

Job Description:

  • Possesses thorough understanding of the hospital revenue cycle with specialization in hospital billing, follow-up, and the account resolution process
  • Possesses ability to professionally communicate (in all forms) with payer resources such as: website, e-mail, telephone, customer service departments, etc.
  • Utilizes and applies industry knowledge to resolve aged accounts receivable by working various account types including, but not limited to: hospital and/or professional claims, governmental and/or non-governmental claims, denied claims, high priority accounts, etc.
  • HS Diploma or equivalency required
  • Post HS education preferred Education Included From Job Education Essential Level High School Diploma No 1

Qualifications:

  • Degree : High School Diploma or equivalency.
  • Certificate: NA

Responsibilities:

  • Possesses thorough understanding of the hospital revenue cycle with specialization in hospital billing, follow-up, and the account resolution process.
  • Utilizes and applies industry knowledge to resolve aged accounts receivable by working various account types including, but not limited to: hospital and/or professional claims, governmental and/or non-governmental claims, denied claims, high priority accounts, etc.
  • Manage multiple work queues for follow-up and denials by engaging payor websites and initiate calls in order to ensure prompt payment of medical claims.  Pursues and/or follow-up on appeals. Initiates communication with coding team and clinical staff when coding related and medical necessity appeals are warranted.
  • Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments. Makes recommendations for resolution.
  • Remains open-minded with change: maintains performance during period(s) of change and understands changes in tasks and/or environment as well as the basis for change
  • Possesses ability to professionally communicate (in all forms) with payer resources such as: website, e-mail, telephone, customer service departments, etc.
  • Possesses a cooperative and positive attitude toward clients, management, and co-workers by responding politely and professionally and being a valued team player
  • Ability to meet departmental standard for quality and productivity.

Experience Required: 1+ years

Shift: Day