Patient Account Specialist

JOB SUMMARY
The Patient Account Specialist is responsible for managing and maintaining patient accounts as assigned by the Accounts Receivable Manager. This position works closely with internal and external customers to resolve unpaid claims, insurance discrepancies, and patient balances through timely and accurate follow-up. The goal of this role is to maximize reimbursement, ensure correct insurance payments, and uphold the principles of the “Flawless Reimbursement” system.

RESPONSIBILITIES

Process patient payments, refunds, and account adjustments.

Identify and correct medical coding errors, data-entry mistakes, underpayments, and overpayments.

Assist patients with billing inquiries, insurance questions, and account discrepancies.

Communicate with patients via phone, email, or written correspondence regarding overdue balances & collections notifications.

Ensure accurate insurance payments, follow up on denied or incorrect claims, and resolve payer inaccuracies.

Perform billing and collection duties as needed to support the Accounts Receivable team.

Utilize Blue E accounts and other payer portals for verification and follow-up.

Counsel patients on insurance and billing matters, including pre-certification assistance.

CHARACTERISTICS

Exceptional verbal and written communication skills

Excellent analytical and problem-solving abilities

Strong time management and organizational skills

Highly detail-oriented

Outstanding customer service and patient support skills

QUALIFICATIONS

1–3 years of medical billing experience preferred

Experience working with the public and maintaining composure in fast-paced environments

Associate degree in a related field preferred

Strong knowledge of insurance and managed care plans

Understanding of billing and payment procedures for contractual and non-contractual payers

Clear and concise communication skills with a professional demeanor

Ability to read, comprehend, and follow written and verbal instructions

Ability to learn quickly and adapt to a busy healthcare setting

PHYSICAL REQUIREMENTS

Sitting:

Occasionally

Standing:

Occasionally

Walking:

Occasionally

Carrying/Lifting:

Rarely (up to 15 pounds)

Stooping/Kneeling:

Rarely

Other:

N/A

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