Patient Accounts Spec

Odessa Regional Medical Center•Odessa, TX

About The Position

The Patient Accounts Spec verifies insurance coverage, eligibility, and benefits before service; obtains and documents authorization and referral requirements; identifies coverage limitations; and communicates patients’ financial responsibility. The role also resolves eligibility discrepancies, collects patient payments, processes payment arrangements under hospital guidelines, and supports patient access and registration functions. The position provides professional, compassionate customer service to patients, families, physicians, and staff, including responding to financial concerns and discussing sensitive financial matters. It follows hospital, state, federal, and regulatory requirements, protects patient privacy under HIPAA, participates in quality improvement, and completes required annual education and competencies. Performance expectations include accurate documentation, meeting established collection goals and departmental standards, and supporting patient satisfaction, revenue integrity, and compliance.

Requirements

Understanding of insurance verification and eligibility processes.
Knowledge of financial assistance programs and patient payment options.
Strong communication and customer service skills.
Ability to handle sensitive financial discussions with professionalism and empathy.
Strong analytical and problem-solving skills.
Proficiency with electronic medical record systems and Microsoft Office applications.
Ability to maintain confidentiality and comply with HIPAA requirements.

Responsibilities

Verify insurance coverage, eligibility, and benefits before service.
Obtain and document authorization and referral requirements.
Identify coverage limitations and communicate financial responsibility to patients.
Research and resolve insurance eligibility discrepancies.
Collect patient financial responsibility in accordance with organizational policies.
Use approved collection scripts and customer service techniques.
Process patient payments accurately and maintain required documentation.
Establish payment arrangements consistent with hospital guidelines.
Review registrations for accuracy and completeness.
Assist with registration activities as needed.
Ensure required patient forms and consents are completed.
Maintain confidentiality of patient information in accordance with HIPAA regulations.
Provide professional, compassionate service to patients, families, physicians, and staff.
Address patient concerns regarding financial matters promptly and professionally.
Maintain a positive patient experience when discussing sensitive financial information.
Follow hospital, state, federal, and regulatory requirements.
Maintain compliance with HIPAA and patient privacy standards.
Participate in departmental quality improvement initiatives.
Complete required annual education and competencies.
Maintain accurate insurance verification and financial counseling documentation.
Meet established point-of-service collection goals.
Achieve departmental quality and productivity standards.
Demonstrate professionalism, teamwork, and excellent customer service.
Support organizational goals related to patient satisfaction, revenue integrity, and compliance.