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Hospitals and Health Care

Patient Account Specialist- Full Time

OhioHybridFull TimeEntry-level (exp-based)Posted 1 month agoVisa sponsorship available

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Required skills

  • EPIC
  • patient financial services
  • healthcare billing
  • billing
  • collection activity
  • insurance carriers
  • payer billing requirements
  • compliant billing
  • payer trends

Nice to have

  • financial corrections
  • clinical corrections
  • demographic corrections

Role summary

The Patient Account Specialist is responsible for all billing and collection activities with insurance carriers, including research and contact with patients, guarantors, and third-party payers. This role involves account billing, payment accuracy review, account research, and follow-up, potentially including financial, clinical, or demographic corrections. Key responsibilities include analyzing denied payments, coordinating with service providers, managing EPIC work-queues for effective A/R strategies, staying updated on payer billing requirements, ensuring accurate and compliant billing, and communicating payer trends to management. A high school diploma and a minimum of 1 year of experience in patient financial services or healthcare billing are required.

Facility:

Work from Home - Hybrid - Ohio

Department:

Cash Applications

Schedule:

Full time

Hours:

40

Job Details:

The insurance billing patient account specialist is responsible for all billing and collection activity with insurance carriers. This may include research and contact with patient, guarantor, insurance companies, or other third-party payers.

Under the leadership of the Manager, Patient Financial Services, the patient account specialist is responsible for the billing of accounts, review of payment accuracy, account research, and follow-up. Efforts may include financial, clinical, or demographic account corrections. Research also includes coordination with service providers and payers, root analysis of denied payment, and timely follow up on claims. Filters and sorts EPIC work-queues in an effort to provide most effective A/R strategies. Stays current on all payer billing requirements. Maintains a high level of accuracy and assures compliant billing of claims. Is able to track and communicate payer trends to supervisor and manager.

Department Specific Job Details:

Education

  • High school diploma required

Experience

  • Minimum of 1 year of experience in patient financial services or healthcare billing

Skills/Competencies

  • Strong communication and interpersonal skills
  • Ability to work tactfully with patients, staff, and interdepartmental customers
  • Strong analytical and problem-solving skills
  • Knowledge of healthcare billing regulations and compliance requirements
  • Excellent organizational and time-management skills
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