Patient Account Specialist-Full Time-Days

Cape Fear Valley Health

7d • Onsite

About The Position

Handles the complete processing of patient accounts with third party carriers from start to finish to include but not limited to: billing the claim either electronically or paper, supplying additional information necessary for claim adjudication, and answering patient and insurance company questions.

Requirements

• High school diploma or equivalent required
• 2 years’ experience with electronic hospital billing or collections in a medical field required
• 1 year of experience with personal computer software and other office equipment required
• Proficiency in reading, writing, and speaking the English language
• Knowledgeable in third party claim adjudication to include: Medicare, Medicaid, Tricare, commercial insurance, and managed care
• Must pass departmental training (calculating reimbursement, UB-04, Patient Account Terms and System Navigation) tests 75% or higher
• Excellent verbal and written communication skills
• Analytical ability and accurate mathematical calculation skills
• Near visual acuity required
• Motor coordination and finger dexterity required to complete repetitive functions with computer and other office equipment
• Ability to lift twenty-five pounds
• Ability to talk and to receive information by telephone is required

Nice To Haves

• 1 year of medical terminology and familiarity with CPT-codes, ICD-10 codes and HCPCS codes preferred

Responsibilities

• Submits primary insurance claims to all carriers using the electronic claims terminal or send hard copy claims
• Uses the on-line work list and account referrals to review accounts that are pending payment from insurance companies for additional information
• Validates the accuracy of patient information so that future billing and follow-up activities are conducted effectively and to ensure a high degree of customer service.
• Applies adjustments and write-offs to accounts according to policy and procedure to assure accurate account balances and statements
• Maintains a suspense file of accounts that need additional documentation for eligibility determination prior to billing
• Receives incoming calls from patients and/or insurance companies concerning open accounts and answers questions and provides information in a courteous and cooperative manner to maintain good customer relations
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED