About The Position

As a Lead Patient Account Specialist, you will have responsibility for various business office functions for physician practices. These functions include conducting internal audits to meet regulatory and departmental standards, educating current associates in billing policies and procedures, and acting as a knowledge expert to resolve complex payer reimbursement issues. This work will be accomplished by communicating with patients, government agencies and third-party payers to gather, process and record information needed for appropriate reimbursement as well as interfacing with client leadership to respond to related inquiries. Responsible for workload distribution, on the job training, work review and simple complaint resolution under the direction of supervisor, and in accordance with supervisor's guidelines of at least three other staff members. Acts as information resource for standard policy and procedural questions. Maintains current knowledge and answers questions of other staff on procedures, policies, etc. Obtains needed information or decisions from supervisor on problems that arise. Gives on-the-job training to new employees in accordance with established procedures and practices. Instructs employees in specific tasks and work techniques and makes available written instructions, reference materials and supplies. Checks on work in progress, participates in performance audits, and reviews completed work to see that the supervisor's instructions on work sequence, procedures, methods, and deadlines have been met. Distributes and balances workload among available staff, assuring timely accomplishment of the work and that each employee has enough work to keep busy. Reports to the supervisor on performance, progress, problems, training needs and quality improvement opportunities. Maintains employee records and reports as requested by the supervisor. Resolves simple informal complaints of employees. Assumes emergency leadership role in absence of supervisor. Providence caregivers are not simply valued – they’re invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Requirements

  • Responsibility for various business office functions for physician practices
  • Knowledge of billing policies and procedures
  • Expertise in resolving complex payer reimbursement issues
  • Ability to communicate with patients, government agencies and third-party payers
  • Ability to interface with client leadership
  • Ability to distribute workload, provide on-the-job training, review work, and resolve simple complaints
  • Ability to act as an information resource for standard policy and procedural questions
  • Ability to maintain current knowledge and answer questions of other staff
  • Ability to obtain needed information or decisions from supervisor on problems
  • Ability to instruct employees in specific tasks and work techniques
  • Ability to check on work in progress, participate in performance audits, and review completed work
  • Ability to distribute and balance workload among staff
  • Ability to report on performance, progress, problems, training needs and quality improvement opportunities
  • Ability to maintain employee records and reports
  • Ability to resolve simple informal complaints of employees
  • Ability to assume emergency leadership role in absence of supervisor

Nice To Haves

  • 5 years related experience

Responsibilities

  • Conducting internal audits to meet regulatory and departmental standards
  • Educating current associates in billing policies and procedures
  • Acting as a knowledge expert to resolve complex payer reimbursement issues
  • Communicating with patients, government agencies and third-party payers to gather, process and record information needed for appropriate reimbursement
  • Interfacing with client leadership to respond to related inquiries
  • Workload distribution
  • On the job training
  • Work review
  • Simple complaint resolution
  • Acting as information resource for standard policy and procedural questions
  • Maintaining current knowledge and answering questions of other staff on procedures, policies, etc.
  • Obtaining needed information or decisions from supervisor on problems that arise
  • Giving on-the-job training to new employees in accordance with established procedures and practices
  • Instructing employees in specific tasks and work techniques and making available written instructions, reference materials and supplies
  • Checking on work in progress
  • Participating in performance audits
  • Reviewing completed work to see that supervisor's instructions on work sequence, procedures, methods, and deadlines have been met
  • Distributing and balancing workload among available staff, assuring timely accomplishment of the work and that each employee has enough work to keep busy
  • Reporting to the supervisor on performance, progress, problems, training needs and quality improvement opportunities
  • Maintaining employee records and reports as requested by the supervisor
  • Resolving simple informal complaints of employees
  • Assuming emergency leadership role in absence of supervisor

Benefits

  • Best-in-class benefits uniquely designed to support you and your family in staying well, growing professionally and achieving financial security.
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