Patient Account Specialist I
About The Position
At Perham Health, our success is rooted in the strength of our team. We've cultivated a collaborative workplace centered on excellence, compassion, integrity, and respect. Here, you'll discover avenues for personal and professional growth, surrounded by a dedicated and supportive team committed to making a meaningful impact. Additionally, we offer a highly competitive compensation and benefits package designed to enhance your overall well-being. The Patient Account Specialist I creates and reviews patient bills and billing forms ensuring accuracy of charges, codes, and all other necessary information for accurate and timely processing of claims. Submits claims to all appropriate third-party payers using the Electronic Claim Submission (EDI) systems utilized or by preparing necessary forms as requested by individual payers. Remains current on changes in billing rules, trends, denials, and reimbursement. Monitors and works all assigned work queues in a timely manner. Responds to correspondence from third-party payers and follows up on any outstanding accounts within 30 days of billing to facilitate the Collection Representative's ability to obtain payment on aging accounts. Responds to patient questions regarding charges or insurance benefits, communicating with the appropriate third-party payers and internal departments to ensure accurate and timely resolution. Assists patients in understanding their financial responsibility to Perham Health and offers appropriate resources and options to meet that responsibility. Verifies insurance benefits as assigned, and coordinates authorization needs by working the appropriate staff/departments.
Requirements
- Post-secondary education or equivalent training in a healthcare or business related field required.
- Demonstrate a high degree of commitment to customer service excellence.
- Ability to effectively communicate in English, both verbally and in writing, and act in a positive, professional manner.
Nice To Haves
- Previous healthcare billing experience preferred.
Responsibilities
- Creates and reviews patient bills and billing forms ensuring accuracy of charges, codes, and all other necessary information for accurate and timely processing of claims.
- Submits claims to all appropriate third-party payers using the Electronic Claim Submission (EDI) systems utilized or by preparing necessary forms as requested by individual payers.
- Remains current on changes in billing rules, trends, denials, and reimbursement.
- Monitors and works all assigned work queues in a timely manner.
- Responds to correspondence from third-party payers and follows up on any outstanding accounts within 30 days of billing to facilitate the Collection Representative's ability to obtain payment on aging accounts.
- Responds to patient questions regarding charges or insurance benefits, communicating with the appropriate third-party payers and internal departments to ensure accurate and timely resolution.
- Assists patients in understanding their financial responsibility to Perham Health and offers appropriate resources and options to meet that responsibility.
- Verifies insurance benefits as assigned, and coordinates authorization needs by working the appropriate staff/departments.
Benefits
- health, dental, and vision insurances
- paid time off
- retirement plan options
- life insurance
- long-term disability
- an Employee Assistance Program (EAP)
- scholarship opportunities
- funeral/jury duty/military leave
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
