Account Specialist - Full Time - Germantown, TN

Account Specialist - Full Time - Germantown, TN

Account Specialist
At West Cancer Center, we are committed to delivering exceptional patient care through innovation, collaboration, and operational excellence. Our Revenue Cycle team plays a vital role in supporting our mission by ensuring accurate billing, reimbursement, and financial processes that allow us to continue providing high-quality oncology services to our patients.
The Account Specialist is responsible for managing accounts receivable activities related to patient and insurance balances, ensuring accurate billing, reimbursement, and timely revenue collection. This position reviews and resolves claim denials, payment discrepancies, billing issues, and outstanding account balances while maintaining exceptional customer service and compliance with organizational policies and procedures. Work is performed under the general supervision of the Revenue Cycle Manager.
Key Responsibilities
Review patient accounts and insurance claims to verify accurate payments, adjustments, and reimbursements
Identify and resolve overpayments, underpayments, denied claims, and unpaid balances
Investigate and correct billing discrepancies to ensure proper claim processing and reimbursement
Respond to billing inquiries from patients, insurance carriers, and healthcare providers via phone, fax, email, and written correspondence
Process and review daily correspondence received from insurance carriers and patients, including payment discrepancies, claim corrections, and other account-related matters
Manage and process credit balances in accordance with organizational policies and procedures
Gather and submit supporting documentation, including medical records, coding information, drug inserts, and other reimbursement-related materials for claim reviews, audits, and appeals
Collaborate with Coding, Medical Records, Patient Representatives, and clinical staff to resolve claim denials, coding issues, referral requirements, and prior authorization concerns
Communicate effectively with insurance carriers regarding claim status, reimbursement issues, appeals, and account resolution
Maintain patient confidentiality and protect sensitive information in accordance with HIPAA regulations and organizational standards
Attend departmental and organizational meetings as required
Assist with onboarding, training, and orientation of new employees as assigned
Maintain professional conduct, appearance, attendance, and punctuality
Adhere to all clinic safety policies, procedures, and regulatory requirements
Perform additional duties and special projects as assigned
Claims Management & Accounts Receivable Responsibilities
Review and resolve claim denials and rejections received through clearinghouses and third-party payers
Update clearinghouse and practice management systems with corrected claim information and account activity
Monitor outstanding claims and follow up with insurance carriers regarding unpaid or denied claims for assigned providers
Ensure claims remaining unpaid are followed up within 60 days of submission
Correct and resubmit denied claims promptly and accurately
Resolve electronic claim denials within five (5) business days of receipt
Follow established departmental collection guidelines and revenue cycle procedures
Communicate professionally with physicians, clinical staff, and insurance representatives regarding reimbursement and claim-related issues
Utilize diplomacy, professionalism, and effective communication skills to resolve difficult situations and maintain positive working relationships
Qualifications
Education & Experience
Required:
Equivalent combination of education, training, and relevant work experience
Minimum of two (2) to three (3) years of experience in medical billing, accounts receivable, revenue cycle management, or a related healthcare financial role
Strong analytical, problem-solving, and organizational skills
Excellent verbal and written communication skills
Ability to manage multiple priorities and meet deadlines in a fast-paced healthcare environment
Proficiency in Microsoft Office applications and healthcare billing software
Preferred:
Associate degree from an accredited college or technical school
Knowledge of medical billing practices, insurance reimbursement methodologies, and claim resolution processes
Experience working with electronic medical records (EMR), practice management systems, and clearinghouses
Work Environment & Physical Demands
Work is primarily performed in a healthcare or administrative office environment with a moderate noise level
Ability to sit, stand, walk, bend, stoop, and use hands and wrists for extended periods
Ability to communicate effectively in person, by telephone, and in writing
Ability to read, interpret, and prepare reports, correspondence, policies, procedures, and other business documents
Ability to perform basic mathematical calculations, including percentages, discounts, and financial reconciliations
Ability to analyze and resolve routine operational and billing-related issues using sound judgment
Ability to lift and carry up to 25 pounds occasionally
Limited travel may be required based on organizational needs
Why West Cancer Center is a Great Place to Work
Meaningful Impact: Play a direct role in supporting patients through one of the most challenging times of their lives.
Collaborative Culture: Work alongside a multidisciplinary team of dedicated professionals committed to improving cancer care.
Professional Development: Benefit from ongoing training, educational resources, and growth opportunities.
Mission-Driven Environment: Be part of an organization guided by compassion, integrity, and innovation.
No nights, weekends, or holidays. Comprehensive benefits package.
Join Us
If you are a detail-oriented revenue cycle professional with a passion for problem-solving, financial accuracy, and exceptional customer service, we encourage you to apply for the Account Specialist position at West Cancer Center.