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