About The Position

The Accounts Review Specialist uses and maintains knowledge of multiple computer systems and payer portals or web-based applications on a daily basis. The role is responsible for full account resolution, including reviewing and auditing account activity, updating data in appropriate systems, and filing for insurance. The Specialist provides financial assistance information, ensures proper and timely account adjustments, and reviews and confirms accurate patient-responsible balances. The Specialist assists patients and their families with phone calls and walk-ins, reviews payment posting for accuracy, identifies overpayments and refunds due, and enters account notations. Additional duties within the scope of the role may be assigned. The position is based at Baptist Health's Corporate location and is regular, full-time, on the first shift.

Requirements

  • High school diploma or equivalent.
  • Excellent written and verbal communication skills.
  • Strong planning, organizational, and decision-making skills.
  • Ability to work independently and multitask.
  • Strong analytical and lateral-thinking skills.
  • Ability to communicate and negotiate with a variety of internal and external constituencies.
  • Working knowledge of MS Word, Excel, Outlook, and PowerPoint.
  • Knowledge of medical terminology and experience with third-party payers.
  • Ability to maintain professional, 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.

Nice To Haves

  • Minimum 2 years of medical billing, collection, or related experience.
  • Previous healthcare experience with knowledge of third-party payers and denials.
  • CPAR certification.

Responsibilities

  • Use and maintain knowledge of multiple computer systems and payer portals or web-based applications.
  • Resolve accounts by reviewing and auditing activity, updating data in appropriate systems, and filing for insurance.
  • Provide financial assistance information and ensure proper and timely account adjustments.
  • Review and confirm accurate patient-responsible balances.
  • Assist patients and their families by phone and through walk-ins.
  • Review payment posting for accuracy and identify overpayments or refunds due.
  • Enter account notations.
  • Perform additional duties within the scope of the role as assigned.
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