Revenue Cycle / Patient Accounts Specialist I

About the Role

Key Responsibilities

• Research, copy, and mail member-financial records to requestors such as courts, attorneys, or copy services.
• Research databases and work queues to identify third-party, workers compensation, and secondary coverage availability for patient bills using templates and basic business knowledge.
• Negotiate payment plans and set terms of pay agreements.
• Provide customer service by explaining the application process, processing applications, and dispositions in accordance with policy regulations.
• Perform routine collection interactions with a defined set of patient accounts to collect payments.
• Monitor payment plans to determine if agreements should be sustained or canceled.
• Approve adjustments with limited authority.
• Prepare self check-in services, procure documents, and perform day-to-day operations for the Admitting and Patient Financial Advisors teams.
• Assist in verifying and entering patient insurance information correctly prior to service.
• Collaborate with team members to address business problems, escalate issues, and communicate progress.
• Ensure compliance with federal, state, and applicable standards.
• Conduct research to answer patient questions and ensure accurate patient accounts.
• Assist with performance management initiatives by producing reports and analyzing data to assess performance progress.
• Support process management initiatives by coordinating with team members and documenting project requirements.
• Assist with project execution and management efforts, ensuring successful implementation of project-based changes.
• Facilitate regulatory reporting by reviewing work accuracy and applying regulation standards.
• Support systems management initiatives by integrating new system processes with routine work.

Requirements

• High School Diploma or General Education Development (GED).
• Minimum one (1) year of experience in data analytics, clinic/hospital operations, customer services, banking, healthcare coding, registration, billing, and collections, or relevant experience.
• Or minimum two (2) years of experience working in a corporate or business office environment.

Qualifications

• High School Diploma or GED.
• At least one year of relevant experience or two years in a corporate/business office setting.