Senior Patient Accounting Specialist

Logan Health

3d•Remote

About The Position

At Logan Health, we're seeking a Senior Patient Accounting Specialist to bring leadership and specialized knowledge to our team. In this essential role, you will be at the forefront of billing, payment posting, collections, claims research, and accounts receivable, ensuring efficient and accurate processes across the board. You'll also play a key part in guiding and training team members, addressing first-level questions and escalations, and supporting our mission to deliver exceptional service and uphold the highest standards of patient care. Join us and make a meaningful impact every day.

Requirements

Meet one of the following: 1+ year of experience in claims, billing, or collections.
2+ years in a business office setting.
Associate's degree in a related field.
Equivalent combination of education and experience.
Proficient in Microsoft Word, Outlook, and Excel, with the ability to learn new software.
Minimum of one (1) year working experience with claims, billing and/or collections
Minimum of two (2) years’ in a business office setting
Associates degree in a related field
An equivalent combination of education and experience.
Demonstrated high level problem solving, analytical and/or investigational skills required.
Possess training skills to successfully share working knowledge and experience with others required.
Possess and maintain computer skills to include working knowledge of Word, Outlook, Excel, and ability to learn other software as needed.
Promotes excellence through setting high standards and providing high quality outcomes.
Ability to act with integrity, kindness, and exhibit empathy.
Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently.
Commitment to working in a team environment and maintaining confidentiality as needed.
Excellent verbal and written communication skills including the ability to communicate effectively with various audiences.
Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.

Nice To Haves

Strong problem-solving, analytical, and training skills.
Experience in healthcare, hospital, or medical office settings, knowledge of claim resolution, and payer regulations.
Previous hospital or medical office setting preferred.
Possess working knowledge of claim resolution preferred.
Possess knowledge and understanding of payer regulations preferred.
Proficiency in Excel and /or revenue cycle software preferred.

Responsibilities

Serve as the first point of contact and support for Patient Accounting team members, patients, clients, providers, payers, and other departments.
Identify and report payment issues and discrepancies and assist in resolving them.
Train and support new and current team members, ensuring work meets department standards.
Assist leadership with special projects and maintain open communication.
Analyze account data to resolve claims and payments, escalating unresolved issues as needed.
Post payments and adjustments according to policies and procedures.
Document all communication professionally and accurately.
Review account information for accuracy in the billing system.
Interpret explanation of benefits (EOBs) to identify payment discrepancies.
Provide exceptional customer service to stakeholders.
Participate in team meetings and support team goals with a focus on improvement.
Maintain regular attendance as scheduled.
Acts as resource and serves as first line of escalation for Patient Accounting specialist team members.
Performs as a Patient Accounting liaison between patients, clients, providers, payers, vendors and other departments.
Identifies and reports payer related issues and potential payment discrepancies.
Effectively trains and assists new and existing team members with assigned work in accordance with team expectations, department productivity and quality standards.
Assists Team Lead and assigned leadership with special projects and maintains open and professional communication with leadership and staff.
Analyzes and interprets account data to facilitate timely claim and payment resolution.
Collaborates and/or refers unresolved issues and escalates to appropriate party.
Posts payments and adjustments utilizing the appropriate fee schedule, policy and/or procedures in accordance with patient statements, remittance advices, insurance carriers, electronic downloads, etc.
Ensures all communication, both written and verbal, is documented in a professional, accurate, clear and factual manner.
Completes account maintenance review to ensure account information is accurate within billing system.
Interprets explanation of benefits (EOB) message codes, validates payer processing and identifies potential payment discrepancies.
Provides exceptional customer service to stakeholders for questions and concerns.
Participates in team meetings and activities.
Contributes to the philosophy and goals of the team and department while maintaining a positive, open-mind and focus on continuous improvement.
Maintains regular and consistent attendance as scheduled by department leadership.