Patient Accounts Specialist I - POE

LRADAC•Lexington, SC

3h•$16 - $21

About The Position

The Patient Accounts Specialist I provides administrative and operational support under the supervision of the POE Manager. The position supports patient admission and point-of-entry processes, customer service, account inquiries, financial assessments, payment collection, and third-party insurance billing and follow-up. Under the supervision of the VP of Clinical Services, the role also provides coverage as needed for HIV testing and educates, counsels, and assists individuals with substance use disorders in addressing their HIV status and reducing HIV risk. The position has a 37.5-hour, five-day work week, routinely scheduled from 8:00 AM to 5:00 PM Monday through Thursday and 8:00 AM to 12:00 PM Friday. A flexible schedule and occasional overtime may be approved by the supervisor. LRADAC operates prevention, intervention, and treatment programs in Lexington and Richland counties.

Requirements

High school diploma or GED.
Six months to one year of related experience and/or training, or an equivalent combination of education and experience.

Nice To Haves

Associate’s degree (A.A.) or equivalent from a two-year college or technical school.

Responsibilities

Greet patients, verify identity, and enter required admission information—including demographics and payment source—into the electronic health record system.
Explain legal consents, program forms, and intake information during point of entry and obtain necessary signatures.
Obtain insurance information for patients with third-party coverage, enter payment sources in the patient database, and notify appropriate staff.
Update the assessment center schedule accurately and promptly to support patient flow.
Schedule and enter the intake activity immediately following the intake.
Answer questions about the admission process or refer patients to appropriate program staff.
Verify third-party eligibility promptly and notify appropriate staff.
Handle patient account inquiries and process financial assessment applications.
Collect payments and record them on the cash sheet.
Provide point-of-entry and front-desk backup, including backup at the Richland site.
Act as a liaison for patients concerning third-party reimbursement.
Contact third-party payers to obtain benefit information and initial authorization.
Investigate denials and complete appeals as necessary.
Post insurance payments to the patient account system.
Submit corrected claims to third-party insurance carriers.
Follow up with third-party payers regarding unpaid insurance claims.
Research and post managed-care adjustments to the patient database when applicable, confirming contractual obligations.
Escalate denials to the Patient Accounts Director as necessary.
Use and update the collection dashboard to monitor unpaid claims.
Provide HIV testing coverage as needed and educate, counsel, and assist individuals dealing with substance use disorders in addressing HIV status and reducing HIV risk.