Patient Account Specialist *KOS EMPLOYEE PIPELINE*

About the Role

Key Responsibilities

• Performs Accounts Receivable Collections by issuing patient statements, making outbound collections calls and handling inbound patient calls to take payments or respond to billing inquiries
• Reviews patient account to ensure account balance accuracy before statement is generated
• Works with Business Services, Financial Counseling, Coding, HIM, Patient Advocacy, and clinical departments to resolve patient inquiries, or billing or patient care complaints
• Researches and resolves claims discrepancies or routes claims issue to appropriate department for resolution
• Processes and posts patient payments to guarantor accounts, ensuring payments are applied per established payment posting logic
• Analyzes patient accounts receivable to respond to billing concerns and escalates to Patient Advocacy when related to patient care complaints
• Identifies billing and coding errors from the EOB posting and works with source departments to facilitate corrections
• Identifies coverage types (Commercial, Medicare, Medicaid, etc.), verifies insurance eligibility, collects co-payments, co-insurances, and deductibles, and transfers accounts for corrected claim processing
• Supports Financial Counseling by completing financial assistance screening and transferring patients as appropriate
• Performs other related duties as assigned

Requirements

• Associate's degree in a related field preferred
• 1+ year customer service and previous collections experience preferred
• 1+ year experience working in a hospital/health care business office or financial clearance department, scheduling, or registration preferred
• Working knowledge of current health insurance reimbursement methodology, hospital and medical billing practices preferred
• Ability to read and explain an Explanation of Benefits (EOB) and Remittance Advice (RA) preferred
• Familiarity with CPT codes and medical terminology preferred
• Excellent communication, organizational and analytical skills required
• Knowledge and demonstrated competence working with Microsoft Office software

Nice to Have

• Experience working with health insurance reimbursement methodologies
• Knowledge of CPT codes and medical terminology

Benefits & Perks

• Comprehensive medical plan options, including fully paid employer premiums for full-time employees and affordable premiums for part-time employees
• Voluntary benefits such as dental, vision, life, and pet insurance
• Well-being resources and telemedicine services
• Tuition assistance program available after 90 days
• Retirement plans with employer matching based on years of service
• Competitive salaries with night, weekend, and PRN shift differentials
• Wellness programs, employee discounts, and referral incentives