Company
Healthcare
PatientAccountSpecialist
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Patient Account Specialist. Skills: Patient account management, Customer service, Billing analysis. Take inbound phone calls. Research customer issues”
Industry & Context.
Problem solving; Issue resolution
What They're Looking For.
Must Have
High School Diploma or GED, 3+ years healthcare experience, 3+ years billing experience, 3+ years service experience
Nice to Have
3 years Medical Billing experience, Associate's degree in business administration, Medical insurance billing experience, Claims processing experience, Epic experience, eClinicalWorks experience, Bilingual (Spanish)
What You'll Do.
Take inbound phone calls
Research customer issues
Collect customer information
Collect payments from customers
Respond to customer inquiries
Update and maintain customer demographic information
Update and maintain customer insurance information
Document patient account information
Review patient accounts
Verify required documentation
Record required documentation
Request documentation
Deliver high-level customer service
Provide exceptional service to customers
Ensure positive customer experience
Ensure professional customer experience
Manage customer inquiry through resolution
Collaborate with internal teams
Ensure timely follow-up
Address service-related issues professionally
Communicate clearly with customers
Serve as extension of Company urgent care centers
Support Company mission
Support Company values
Manage multiple tasks
Manage customer interactions
Identify financial needs
Assist with financial assistance applications
Minimize patient escalations
Achieve one-call resolution
Collect unpaid customer balances
Assist with credit card payments
Review accounts for collection
Collect outstanding balances
Update patient accounts for payment
Update patient accounts for contested balances
Perform research of account issues
Perform analysis of account issues
Resolve accounts timely
Resolve accounts accurately
Offer prompt pay discounts
Submit patient adjustments
Calculate customer deductibles
Calculate customer co-insurance amounts
Review Explanation of Benefits
Interpret Explanation of Benefits
Ensure appropriate account handling
Ensure appropriate customer communication
Articulate reason for outstanding balances
Identify claim non-submittal
Identify contractual adjustments
Identify patient responsibility
Take appropriate action on claims
Identify why claim denied
Resubmit claims for processing
Validate commercial insurance
Verify patient eligibility
Verify authorizations
Secure carrier payment
Maintain daily communication with Team leaders
Maintain daily communication with Section leaders
Share relevant information with team members
Support collaboration
Support continuity of care
Document barriers in issue resolution
Escalate issues for review
Assist colleagues with tasks
Assist colleagues with responsibilities
How You'll Work.
Team & Collaboration
Interaction with other departments; Collaboration with internal teams; Working with cross functional departments; Communication with Team leaders; Communication with Section leaders; Collaboration with team members
Communication Scope
Phone skills; Communication skills; Customer communication
Full Job Description
You’re more valuable than ever – And that’s just how we’ll make you feel. **Summary** The Patient Account Specialist is responsible for taking all inbound phone calls, researching customer issues, collecting customer information, collecting payments from customers, responding to all customer inquiries via fax/email/calls. **Qualifications** **Education Required:** * High School Diploma or GED **Work Experience Required:** * 3+ years of healthcare, billing, or service experience **Preferred Qualifications, Education, Licenses, Certifications, Experience, etc.:** * 3 years Medical Billing experience * CPAR – Certified Patient Account Representative * Associate’s degree in business administration or related field * Medical insurance billing and claims processing * Epic or eClinicalWorks experience * Bilingual (Spanish) **Knowledge, Skills, and Abilities** * This role is patient facing and involves interaction and collaboration with other departments and requires excellent judgment and interpersonal skills. * Strong interpersonal skills including sound judgement while working with cross functional departments. * Understanding of basic medical terminology and common healthcare documentation. * Highly experienced in Microsoft Excel and Word for data entry, reporting, and documentation. * Strong working knowledge of medical billing codes such as Current Procedural Terminology * (CPT) and International Classification of Diseases (ICD) coding for accurate billing and claims processing. * Exceptional phone and communication skills with the ability to interact effectively across departments and with customers. * Ability to organize and prioritize tasks efficiently in a fast-paced environment. * Proficient in navigating computer systems and performing mathematical calculations related to customer accounts and billing. * Ability to maintain strict customer confidentiality in compliance with HIPAA and company policies. * Demonstrated ability to follow through with customer inquir
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