Patient Account Specialist

Patient Account Specialist

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 include:
Processing patient payments, refunds, and account adjustments.
Identifying and correcting medical coding errors, data-entry mistakes, underpayments, and overpayments.
Assisting patients with billing inquiries, insurance questions, and account discrepancies.
Communicating with patients via phone, email, or written correspondence regarding overdue balances & collections notifications.
Ensuring accurate insurance payments, following up on denied or incorrect claims, and resolving payer inaccuracies.
Performing billing and collection duties as needed to support the Accounts Receivable team.
Utilizing Blue E accounts and other payer portals for verification and follow-up.
Counseling patients on insurance and billing matters, including pre-certification assistance.
Characteristics include:
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 include:
13 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 include:
Sitting: Occasionally
Standing: Occasionally
Walking: Occasionally
Carrying/Lifting: Rarely (up to 15 pounds)
Stooping/Kneeling: Rarely
Other: N/A