Account Resolution Specialist

EMSA- Emergency Medical Services Authority•Oklahoma City, OK

4d•Onsite

About The Position

Working under the daily supervision of Patient Business Services Management and under the general leadership of the Revenue Cycle Management Director, the PBS AR Specialist is responsible for following up on billed claims, reviewing denials, pursuing payments and ensuring all correspondence is accurately documented for account resolution. This position ensures that provision of excellent patient care is extended through the patient’s billing experience.

Requirements

Working knowledge of medical billing and medical terminology
Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
Proficiency with Microsoft Office (Word, Outlook, Excel, and PowerPoint).
Excellent time management skills with attention to detail.
Ability to work independently and with a group and maintain good working relationships.
Minimum GED or High School Diploma
Minimum 2 years’ experience in a hospital or physician’s office working patient accounts or insurance workflows.

Responsibilities

Conduct self in a professional manner that reflects the mission, vision, and values of EMSA.
Account resolution duties, to include contacting payers or identified responsible parties for claim status & resolution.
Monitoring and documentation of claim status, requesting necessary information, submitting appeals and accurate documentation of accounts.
Post denials and take appropriate actions to achieve account resolution, including submitting appeals.
Apply adjustments as needed based on correspondence received.
Review and research credit balances for account resolution.
Process correspondence related to patient accounts accurately.
Appropriately document patient accounts to reflect all updated and necessary information, including updated demographic or payer information.
Maintain set quality and quantity productivity standards.
Understands revenue cycle key performance indicators and works to achieve the KPIs of the team.
Maintain knowledge of current industry standards and organizational practices and work in a manner that supports a patient centered, team focused, and fiscally responsible organization.
Communicates with other team members and leaders on identified trends and process improvement opportunities.
Adhere to all organizational policies and work with the highest level of integrity.
Adhere to and enforce all safety standards and organizational policies.
Performs other duties as assigned.