Specialist, Patient Account Resolution

VARIETY CARE INC•Oklahoma City, OK

6d•Onsite

About The Position

The Patient Account Resolution Specialist resolves outstanding patient balances and supports the financial health of the organization's self-pay accounts receivable portfolio. The role contacts patients to collect balances, establish and monitor payment arrangements, answer billing questions, and provide customer service throughout the resolution process. It serves as a liaison among patients, billing teams, clinic staff, and revenue cycle leadership to improve collections, reduce aging accounts receivable, and provide patients with accurate information about their financial obligations. The position is office-based in Oklahoma City, Oklahoma, and reports to the Patient Account Manager. It is non-exempt and has no direct reports. The role works assigned accounts receivable queues; handles billing inquiries, account adjustments and corrections, statements, and related records requests; and collaborates with colleagues and leadership on collection priorities and process improvements. It must meet productivity goals and comply with applicable billing and collection regulations, including Medicare, Medicaid, and HIPAA requirements.

Requirements

High school diploma or GED equivalent.
One to two years of customer service, collections, billing, or office experience.
Strong verbal communication and customer service skills.
Attention to detail and accuracy.
Ability to navigate multiple software systems simultaneously.
Proficiency with Microsoft Office applications.
Ability to manage multiple priorities and deadlines.
Basic computer and data-entry skills.

Nice To Haves

Experience in a medical office, healthcare environment, or patient collections.
Experience handling sensitive customer conversations and payment arrangements.
Experience with Epic or other electronic medical record systems.
Ability to read and interpret Explanation of Benefits (EOBs).
Working knowledge of CPT coding.
Bilingual English/Spanish.

Responsibilities

Contact patients about delinquent balances through telephone, Artera, MyChart, letters, and other approved methods.
Collect outstanding patient balances and establish payment arrangements and plans within organizational guidelines.
Monitor active payment plans and follow up monthly to ensure compliance.
Send patient statements, collection notices, and correspondence about outstanding balances.
Review patient accounts and determine appropriate collection actions to improve self-pay accounts receivable performance.
Document collection activities, payment arrangements, and patient communications accurately.
Work assigned accounts receivable queues to support collection and resolution efforts.
Respond to patient billing inquiries and explain account balances, payment options, and billing information.
Help patients understand their financial responsibilities and available payment solutions.
Resolve routine patient account concerns professionally, empathetically, and confidentially.
Assist front desk staff with billing inquiries and account-related questions.
Help obtain updated patient demographic and contact information when necessary.
Initiate and respond to billing inquiries and requests for additional information.
Perform approved write-offs, adjustments, refunds, and account corrections.
Prepare itemized billing statements and supporting documentation as requested.
Process medical records requests related to payer, attorney, or patient billing inquiries.
Collaborate with Patient Account Leads, Patient Account Managers, Billing Specialists, and Revenue Cycle leadership to prioritize collections.
Participate in team meetings, training, and special projects as assigned.
Communicate account concerns, trends, and process improvement opportunities to leadership.
Comply with Medicare, Medicaid, HIPAA, and applicable billing and collection regulations; protect patient confidentiality and properly handle protected health information.
Meet established productivity goals and demonstrate initiative, ownership, and ongoing effort to improve reimbursement outcomes.
Perform other duties as assigned.