Account Review Specialist - Customer Service

Baptist Health

5d•Onsite

About The Position

The CBO Account Review Specialist (ARS) communicates concisely and provides excellent customer service to patients, patients' family members, healthcare providers, medical staff offices, and peers with professionalism, competency, compassion, and ownership. The ARS is responsible for using and maintaining knowledge of multiple computer systems and payer portals/web-based applications or systems on a daily basis. Duties may include, but are not limited to the following: Full account resolution, including the review/audit of all activity; updating data in appropriate systems and filing for insurance, financial assistance and/or other; 3) Proper and timely account adjustments; 4) Review and Confirmation of accurate patient responsible balances; 5) Assistance with patients and patient's family phone calls and walk-ins 6) Review for appropriate financial classification; 6) Review to ensure appropriate payment posting and identification of overpayments/refunds due; 8) Account notations; and 9) Performs other duties as requested. Notifies Supervisor of account error trends.

Requirements

High school diploma or equivalent required.
Minimum 2 years medical billing/collection or related experience preferred.
Previous experience working in healthcare with knowledge of third party payers and denials preferred.
Excellent written and verbal communication skills.
Strong planning, organizational and decision-making skills.
Must be able to work independently.
Must be able to multitask.
Strong analytical and lateral thinking skills.
Must be able to communicate and negotiate with a variety of internal and external constituencies.
Working knowledge of MS Word, Excel, Outlook and PowerPoint.
Knowledge or medical terminology and experience with third party payers.
Ability to maintain a professional and customer centric composure in difficult or challenging situations while maintaining confidentiality.
Knowledge of HIPAA standards and regulations.
Organizational and time management skills.
Ability to provide a positive customer service experience to guests, visitors and patients.
Ability to prioritize workload to achieve maximum efficiency.
Position requires sitting for 70% of the workday and mobility 30% of the workday.
There is occasional stooping, bending, kneeling, and crouching.
There is frequent reaching, use of hands and repetitive action.
Requires occasional lifting or carrying up to 50 pounds, pushing/pulling up to 50 pounds.
There is a continuous need for speaking with clear diction and hearing sensitivity in conversation either by phone or in person.
Continuous visual acuity at close and distant range.
Inside protected from weather conditions but not necessarily from temperature changes.
Minimal noise levels.
Much exposure to computer work.
Occasional exposure to risk of electrical shock.
Some exposure to infectious disease while performing job-related tasks.
Some exposure to hazardous chemicals.
Occasional exposure to radiation.

Nice To Haves

CPAR certification preferred.

Responsibilities

Full account resolution, including the review/audit of all activity
Updating data in appropriate systems and filing for insurance, financial assistance and/or other
Proper and timely account adjustments
Review and Confirmation of accurate patient responsible balances
Assistance with patients and patient's family phone calls and walk-ins
Review for appropriate financial classification
Review to ensure appropriate payment posting and identification of overpayments/refunds due
Account notations
Performs other duties as requested
Notifies Supervisor of account error trends