Patient Account Specialist

The US Oncology Network•Spokane Valley, WA

12d•Onsite

About The Position

This position is responsible for account following up on all assigned accounts, resolving billing problems and answering patient inquiries. Sets up financial arrangements as needed. Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments. Supports and adheres to the Cancer Care Northwest Compliance Program, to include the Code of Ethics and Business Standards.

Requirements

High School Diploma or a General Education Degree
Three (3) years’ experience in a medical business office setting with insurance processing and balancing responsibilities

Responsibilities

Perform audits of patient accounts to ensure accuracy and timely payment.
Reviews account aging monthly and reports inconsistencies and corrects errors.
Contacts patients regarding delinquent accounts and arrange mutually acceptable payment.
Follow up on insurance billing to ensure timely receipt of payments. Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid.
Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim.
Reviews credit balance reports for correct recipient of refund.
Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks.
Identifies problems on accounts and follows through to conclusion.
Responds to insurance companies requests for information in a prompt and professional manner.
Reviews appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to appropriate court in a timely manner.
Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts.
Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.
Resubmits insurance claims within 72 hours of receipt. Participate in maintaining Payor Manuals/Profiles.
Works closely with collection agency to assure that they receive updated information on accounts.
Prepares write-off requests with appropriate documentation and submits to supervisor.
Processes insurance/patient correspondence, including denial follow-up within 48 hours of receipt. Files all reimbursement correspondence daily.
Works with provided aging to monitor patient account aging and follows up appropriately. Maintains confidentiality regarding patient account status and the financial affairs of clinic/corporation. Performs all other duties/responsibilities as necessary or assigned.