Patient Account Specialist

Luminis Health•Annapolis, MD

4d•$20 - $27

About The Position

The Patient Accounts Specialist, follows up & performs follow up on all third-party payer accounts receivable and appeals. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions Ensures maximum cash flow and protects organization from losses by billing and collection along with the revenue cycle functions of claims submission. Acts as a liaison with patients, other departments and fellow Patient Financial Services (PFS) teammates to obtain information related to claims processing and payment. Interacts with industry-wide peers, state, federal and local regulatory agencies to ensure compliance with billing and reimbursement requirements and statutes. Remains current on all regulatory and governmental agency requirements regarding billing & reimbursement for payer requirements and statutes. Obtains all health insurance information and appropriate authorizations needed for services as appropriate. Communicates with all departments as needed. Facilitates resolution of third-party receivables by contacting external departments and payors, as appropriate. Follows Standard work daily includingthird-party follow up and reporting activities. Other duties. as assigned. The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Requirements

High School Diploma required.
Minimum two years of experience performing hospital accounts receivable, or other relevant experience.

Nice To Haves

Associate’s degree preferred.
CRCS or HBI Certification preferred

Responsibilities

Follows up & performs follow up on all third-party payer accounts receivable and appeals.
Ensures maximum cash flow and protects organization from losses by billing and collection along with the revenue cycle functions of claims submission.
Acts as a liaison with patients, other departments and fellow Patient Financial Services (PFS) teammates to obtain information related to claims processing and payment.
Interacts with industry-wide peers, state, federal and local regulatory agencies to ensure compliance with billing and reimbursement requirements and statutes.
Remains current on all regulatory and governmental agency requirements regarding billing & reimbursement for payer requirements and statutes.
Obtains all health insurance information and appropriate authorizations needed for services as appropriate.
Communicates with all departments as needed.
Facilitates resolution of third-party receivables by contacting external departments and payors, as appropriate.
Follows Standard work daily includingthird-party follow up and reporting activities.
Other duties. as assigned.