Patient Accounts Specialist

About the Role

Key Responsibilities

• Follow up on all third-party payer accounts receivable and appeals.
• Ensure maximum cash flow and protect the organization from losses by billing and collection along with revenue cycle functions of claims submission.
• Act as a liaison with patients, other departments, and fellow Patient Financial Services teammates to obtain information related to claims processing and payment.
• Interact with industry-wide peers, state, federal, and local regulatory agencies to ensure compliance with billing and reimbursement requirements and statutes.
• Remain current on all regulatory and environmental agency requirements regarding billing and reimbursement for payer requirements and statutes.
• Obtain all health insurance information and appropriate authorizations needed for services.
• Communicate with all departments as needed.
• Facilitate resolution of third-party receivables by contacting external departments and payors.
• Follow standard work daily including third-party follow-up and reporting activities.
• Perform other duties as assigned.

Requirements

• High School Diploma required.
• Associate's degree preferred.
• Minimum two years of experience performing hospital accounts receivable or other relevant experience.
• CRCS or HBI Certification required within 12 months of start date.

Qualifications

• High School Diploma
• Associate's degree (preferred)
• Experience in hospital accounts receivable or relevant field
• CRCS or HBI Certification