About The Position

The Patient Account Specialist performs Accounts Receivable (A/R) and claim functions in a timely and accurate manner to support the organization's overall goals. This role involves accurately maintaining the processing system, and performing client billing, collection, and follow-up for medical, clinical, and other services provided.

Requirements

  • High school Diploma or equivalent
  • 1-3 years demonstrated experience in billing and collection of unpaid claims, preferably in a medical environment.
  • Experience with Medicare, Medicaid and third party insurance preferred

Responsibilities

  • Conducts collection follow-up activity on unpaid medical claims for Husky and Project Safe payer and back up to all other payers (as needed), according to departmental procedures.
  • Performs accurate and timely billing of Project Safe claims, secondary claims and crossover claims for all other payers.
  • Performs editing and rebilling of claims, follows up on denials, processes appeals and all other steps necessary to get a claim paid for Husky and Project Safe payer.
  • Posts paper insurance payments, CSSD, Wise and Project Safe payments.
  • Interacts with CHR sites to update insurance information, follow up from previous emails and re-entry of corrected data into the billing system.
  • Completes monthly projects needed to keep EHR system updated as directed by director of department.
  • Reports payer issues to supervisor as appropriate.
  • Enters and maintains client billing and financial information into the Credible billing system and other software programs as necessary.
  • Maintains the integrity and accuracy of client financial and billing data.
  • Answers and appropriately handles incoming phone calls, addressing questions and concerns from staff, insurance companies and other providers and clients.
  • Maintains current working knowledge of third party payer requirements.
  • Maintains the confidentiality of client related information.
  • Maintains documentation in compliance with agency and program standards.
  • Participates in staff meetings, supervision, trainings and other meetings as assigned.
  • Additional duties as required.

Benefits

  • Ample paid time off
  • Special day off for your birthday
  • Contributions to your 403b Retirement Plan
  • Competitive premiums with added discounts on pet, auto, and home insurance
  • Tuition reimbursement
  • Professional development programs
  • Student loan repayment assistance (Public Service Loan Forgiveness, Nurse Corps, NHSC/HRSA at select sites)
  • Exclusive tuition discounts for CHR employees at several local colleges/universities
  • FREE robust training curriculum, featuring our brand-new Clinical Training Series
  • Clinical supervision and/or mentoring available at many programs
  • Internal career fairs
  • Annual wellness stipend
  • FREE premium subscription to the Calm app, for employees and their families
  • Fun activities like coloring contests, lunch & learns, office seasonal decorating contests, employee appreciation events, and more!
  • Up to 6 FREE confidential counseling sessions per issue, per year, for individuals, couples, & families through our EAP program
  • Participate in leadership luncheons with our CEO and various agency committees
  • Weekly video updates from our CEO and monthly newsletters
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