Patient Account Specialist - Full Time - First Shift

Pine Rest Christian Mental Health Services•Grand Rapids, MI

3d•Onsite

About The Position

We are seeking a detail-oriented and customer-focused Patient Account Specialist to support patient account management, billing, collections, reimbursement, and administrative functions across clinical services. This role serves as an important resource for patients, insurance payers, and care teams by helping ensure accurate account maintenance, timely claim processing, and exceptional customer service.

Requirements

High school diploma or equivalent required
Minimum of one year of experience in a related field required
Strong customer service and communication skills
Excellent organizational and problem-solving abilities
Ability to manage multiple priorities while maintaining attention to detail
Proficiency with computer systems and office software applications
Ability to work independently and collaboratively in a fast-paced healthcare environment

Nice To Haves

Associate degree or equivalent knowledge, skills, and abilities preferred
Previous healthcare billing, collections, insurance verification, or patient account experience preferred

Responsibilities

Maintain patient accounts including demographic verification, guarantor setup, insurance updates, benefit verification, authorization review, and account maintenance
Ensure patients are scheduled with participating providers and appropriate payer information is recorded
Contact insurance companies to obtain authorizations and resolve claim denials, payment discrepancies, outstanding balances, and other reimbursement issues
Process failed claims and ensure claims meet clean claim requirements for timely reimbursement
Support Medicaid and Medicare reporting requirements and maintain required patient agreements
Apply patient payments accurately and monitor reimbursement compliance with payer contracts
Prepare and balance bank deposits
Respond to patient inquiries regarding account balances, payment options, and billing concerns
Establish payment arrangements within established organizational guidelines
Review delinquent accounts and initiate appropriate collection activities or agency referrals
Administer and document Patient Assistance Fund (PAF) applications and transactions
Maintain knowledge of payer regulations, billing requirements, and reimbursement guidelines
Serve as a resource to clinical sites regarding insurance, billing, and reimbursement processes
Provide administrative support including patient check-in and check-out, phone triage, appointment coordination, scanning, correspondence, and scheduling support
Promote a professional, customer-friendly, and inclusive environment for patients, families, and coworkers
Perform other duties as assigned