Patient Account Specialist - 4S Ranch
About The Position
The Patient Account Specialist is responsible for a variety of billing and follow-up tasks relating to claims processing; contacts responsible parties to resolve past-due accounts; investigates account status and initiates collection. Submits claims and follows up with payors to account resolution. Identifies problem accounts with payors; investigates and corrects errors, follows-up on missing account information, and appealing unpaid and denied claims. Working directly with the insurance company, healthcare provider, liable third parties and patient to get a claim processed and paid. Supports continuous improvement of organization processes and personal knowledge and skills. Maintains and protects confidential information. Provides excellent customer service through cooperative working relationships. Meets productivity and quality standards.
Requirements
- Strong working knowledge of managed care plans, insurance carriers, government Payers and payer requirements.
- Knowledge of Medical Terminology and Medicare Compliance.
- Familiarity with HIPAA privacy requirements for patient information.
- Basic understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes.
- Ability to multitask and stay organized.
- Good verbal and written communication skills.
- Detail oriented and ability to prioritize work.
- Requires a moderate level of interpersonal, problem solving, and analytic skills.
- Knowledgeable on insurance and reimbursement process.
- Ability to establish/maintain cooperative working relationships with staff, Medical Staff and providers.
Nice To Haves
- Two years of patient accounts experience in a healthcare setting.
- Epic experience.
- Intermediate to advanced Excel skills.
- Commercial hospital billing and follow up experience.
Responsibilities
- billing
- follow-up tasks relating to claims processing
- contacts responsible parties to resolve past-due accounts
- investigates account status and initiates collection
- Submits claims and follows up with payors to account resolution
- Identifies problem accounts with payors
- investigates and corrects errors
- follows-up on missing account information
- appealing unpaid and denied claims
- Working directly with the insurance company, healthcare provider, liable third parties and patient to get a claim processed and paid
- Supports continuous improvement of organization processes and personal knowledge and skills
- Maintains and protects confidential information
- Provides excellent customer service through cooperative working relationships
- Meets productivity and quality standards
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
