Patient Account Specialist

GoHealth Urgent Care • Rochester, MN

4d

About The Position

You’re more valuable than ever – And that’s just how we’ll make you feel. Summary The Patient Account Specialist is responsible for taking all inbound phone calls, researching customer issues, collecting customer information, collecting payments from customers, responding to all customer inquiries via fax/email/calls, and processing all correspondence.

Requirements

• High School Diploma or GED
• 1-2 years of Customer Service experience
• This role involves interaction and collaboration with other departments and requires excellent judgment and interpersonal skills.
• Understanding of basic medical terminology.
• Highly experienced in Microsoft Excel and Word for data entry, reporting, and documentation.
• Strong working knowledge of medical billing codes such as Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) coding for accurate billing and claims processing.
• Exceptional phone and communication skills with the ability to interact effectively across departments and with customers.
• Ability to organize and prioritize tasks efficiently in a fast-paced environment.
• Proficient in computer systems and mathematical calculations related to customer accounts and billing.
• Ability to maintain strict customer confidentiality in compliance with HIPAA and company policies.
• Demonstrated ability to follow through with customer inquiries and resolve issues with professionalism and sound judgment.
• Ability to calculate deductibles and co-insurance accurately.
• Ability to read and interpret Explanation of Benefits (EOBs).

Nice To Haves

• 2 years Medical Billing experience
• CPAR – Certified Patient Account Representative
• Associate’s degree in business administration or related field
• Medical insurance billing and claims processing
• Epic or eClinicalWorks experience
• Bilingual

Responsibilities

• Maintain consistent daily communication with Team Leaders and Section Leaders.
• Deliver high-level customer service to Accounts Receivable Specialists, payors, and urgent care centers.
• Provide exceptional service to customers, ensuring a positive and professional experience.
• Manage each customer inquiry through resolution, collaborating with internal teams as needed and ensuring timely follow-up.
• Responsible for collecting unpaid customer balances and assisting with credit card payments.
• Accurately update and maintain customer demographic and insurance information.
• Address service-related issues professionally when interacting with customers, guests, physicians, and team members.
• Communicate clearly with customers regarding medical and financial matters via phone, email, or other communication channels.
• Serve as an effective extension of GoHealth centers, supporting their mission and values.
• Share relevant information with team members to support collaboration and continuity of care.
• Assist colleagues with tasks and responsibilities when time permits.
• Accurately calculate customer deductibles and co-insurance amounts based on insurance plan details and service charges.
• Review and interpret Explanation of Benefits (EOBs) from insurance carriers to ensure proper account handling and customer communication.
• Maintain composure and focus while managing multiple tasks and customer interactions in a high-pressure environment.
• Demonstrate flexibility and open-mindedness when approaching problem-solving and adapting to changing workflows or priorities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees