PATIENT ACCOUNT RESOLUTION SPECIALIST - REMOTE PA
About The Position
The Patient Account Resolution Specialist provides customer service and product information, solutions, and relevant details to patients and providers. The role focuses on empathetic, patient-centered communication and resolving concerns while supporting a positive patient and employee experience. The specialist supports branches across a designated market, reviews patient accounts, obtains documentation needed for insurance billing and continued equipment coverage, and works with field leadership, referral sources, and patients to resolve accounts and achieve timely reimbursement. This is a remote, US-based position requiring the employee to reside and work within the United States.
Requirements
- High school degree or equivalent.
- 3–5 years of experience in the healthcare or health insurance industry.
- Intermediate skills in Access, Excel, PowerPoint, MS Project, Visio, and Word.
- English reading, writing, and verbal communication skills.
- Intermediate mathematical proficiency, including the ability to understand, interpret, and develop spreadsheet data.
- Ability to work in a patient-focused, action-oriented, collaborative, and communicative manner and to build relationships.
Responsibilities
- Support branches across a designated market.
- Review new and recurring patient accounts and obtain referral-source documentation required to bill individual health insurance plans.
- Research and secure required information from customers to continue equipment coverage through health insurance plans.
- Manage collaborative relationships with field leadership, referral sources, and patients through effective outreach to drive account resolution.
- Evaluate documentation to ensure it meets applicable compliance criteria, standards, and regulations.
- Perform follow-up to achieve timely reimbursement.
- Provide patients and providers with customer service, product information, solutions, and relevant details.
- Deliver timely feedback to Field teams, Operations, and Sales to support exceptional patient experiences.
- Identify trends in common complaints and partner cross-functionally to recommend and implement preventive measures.
- Support the development and implementation of employee programs that reinforce company values and promote a positive culture.
- Perform other duties as required.
Benefits
- Medical, dental, and vision care coverage.
- Paid time off plan.
- 401(k) plan.
- Flexible Spending Accounts.
- Basic life insurance.
- Short- and long-term disability coverage.
- Accident insurance.
- Teammate Assistance Program.
- Paid parental leave.
- Domestic partner benefits.
- Mental, physical, and financial well-being programs.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
