Patient Account Specialist

One Community HealthSacramento, CA
$25 - $32Onsite

About The Position

The Patient Account Specialist will be responsible for managing various aspects of the medical administration billing process, including paper claim submission, patient account follow-up, Good Faith Estimates, claim documentation, patient communications, and patient payment processing. This role is 100% on-site - Sacramento, CA (95811).

Requirements

  • High School Diploma
  • Knowledge of insurance claim processes, EOBs, and patient account management.
  • Ability to manage multiple tasks and meet deadlines in a fast-paced environment.

Nice To Haves

  • Proficiency with electronic health records (EHR), practice management systems, and Microsoft Office applications is preferred.
  • Medical Billing or Healthcare Administration
  • EPIC experience
  • Previous experience in medical billing, revenue cycle management, or healthcare administration preferred.
  • Experience working with paper claims and insurance follow-up is preferred.
  • Knowledge of HIPAA compliance and patient confidentiality requirements.
  • Ability to collaborate effectively across a broad spectrum of backgrounds and perspectives. Candidates who demonstrate inclusive thinking and interpersonal awareness help strengthen our commitment to equitable and compassionate care for all.

Responsibilities

  • Prepare, review, and submit paper insurance claims accurately and timely.
  • Generate and provide Good Faith Estimates in compliance with applicable regulations.
  • Gather, organize, and submit required claim attachments and supporting documentation to insurance carriers.
  • Process and distribute incoming and outgoing mail/correspondence related to billing, insurance, and patient accounts. Redirecting mail/correspondence to appropriate departments/personnel when necessary.
  • Answer patient phone calls regarding billing inquiries, account balances, insurance claims, and payment options.
  • Work patient accounts receivable (A/R) to resolve outstanding balances and follow up on unpaid claims and patient responsibility.
  • Collect and process patient payments over the phone while maintaining confidentiality and compliance with payment security standards.
  • Research and resolve billing discrepancies, denied claims, and payment issues.
  • Maintain accurate documentation of all billing activities, patient communications, and account updates.
  • Collaborate with clinical and administrative staff to ensure accurate billing information and claim submission.
  • Additional duties as assigned by supervisor.

Benefits

  • Comprehensive benefits
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