RCM - Patient Accounts Specialist

Lifeline Connections • Vancouver, WA

3d • $18 - $19

About The Position

The RCM Patient Accounts Specialist position works under the supervision of the Revenue Cycle Manager.  This position is responsible to follow patient accounts through the entire billing process from eligibility to completion of the payment process.  The Patient Account Specialist verifies eligibility and benefits, requests payments and resolves account issues.  The position is also Primary in customer service in answering phone calls and emails. In fulfilling these duties, the incumbent performs the following duties independently:

Requirements

• Possess two years’ experience in medical/non-profit billing and collections
• Possess two years’ experience in customer service
• Requires a detailed understanding of insurance billing, Medicaid billing in Provider One, ICD-10/CPT codes, HCFA 1500, UB-04 and an understanding of insurance requirements for payment
• Great attendance
• Ability to work well with others
• Must be highly organized, detail oriented, possess good analytical skills, effective verbal and written communication skills, and be able to work well under pressure.

Nice To Haves

• Medical Billing certification or degree preferred
• Prior experience with Qualifacts’ CareLogic electronic health record preferred
• Ability to produce accurate information and reports using Microsoft Excel

Responsibilities

• Verifies patient eligibility and/or benefits via the phone or website(s), follows up with patient and health plan to determine that the patient is covered
• Handles person-to-person patient inquiries regarding billing issues
• Contacts patients for payment requests, overdue payments, denied claims and arrange payment plans
• Respond to and submit refund requests
• Be primary back up for the RCM Payment Data Entry Specialist
• Responsible for maintaining daily account, follow-up work lists within department while maintaining organization’s productivity standards
• Responsible for identifying, researching, and resolving: credit balances, missing payments and unposted cash as it pertains to billing account follow-up.
• Audit patient accounts
• Handle collections on unpaid accounts
• Provide outstanding customer service, both internally and externally
• Answers telephone calls and direct calls appropriately
• Approve clients for Sliding Scale or funding
• Apply clients for available funding. Provides Good Faith Estimates when required
• Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation
• Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function
• Establishes and maintains professional and effective relationships with peers and patients
• Maintains strictest confidentiality; adheres to 42 CFR part 2 and all HIPAA guidelines/regulations
• Able to problem solve issues and apply them to daily problems that occur
• Understanding of Patient Statement Systems, responsible for sending statements in a timely manner
• Appropriately communicate written and verbally with insurance companies, patients, co-workers and supervisors
• Must be able to prioritize tasks to meet multiple deadlines and productivity requirements
• Will work as part of a Revenue Cycle Management team
• Supports and implements agency policies and procedures
• Performs special projects as assigned by supervisor.

Benefits

• Lifeline Connections strives to be your employer of choice by offering our regular/full-time employees a generous benefits package. Our plans cover 85% of medical, dental, and vision costs at the employee level and 75% for all dependent plans. The majority of out-of-pocket costs  (i.e. co-pays, prescriptions, and deductibles) under our medical plans are also covered. We also offer other benefits, such as: employer paid Short Term Disability, Long Term Disability, Life Insurance, and supplemental coverage.
• Our full-time employees and some part-time employees also qualify for our 401(K) plan that matches dollar for dollar up to 5%. On top of all that, our full-time employees receive approximately 4 weeks of paid time off during their first year of employment (accrual rates increase with years of service), as well as 1 personal holiday and 12 paid holidays per year!
• There are many other supplemental benefits we are glad to offer such as tuition reimbursement and discounted cellular service amongst others.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed