PATIENT ACCOUNTS COORDINATOR

Job Description

Job Summary

Patient Accounts Coordinator (PAC) works under the immediate supervision of supervisors / managers in Patient Financial Services (PFS) performing tasks of moderate to difficult complexity relating to hospital or physician accounts. PAC is responsible for data analysis and interpretation throughout all functions of PFS, analysis of aged accounts including remittances to determine reasons for denials, non-payment and overpayment, post / balance / correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis / correction of correct coding guidelines, preparation of accounts for appeal, review / analysis of insurance credit balances and analysis / movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles.

Essential Functions

• Completes claims and documents billing activity according to governmental regulations, agency policies and department guidelines.
• Reviews trends specific to denials, root cause, and A / R impact.
• Reviews insurance credit balances to determine root cause, takes necessary action to resolve account.
• Contacts payer and makes inquiries on account status.
• Processes and researches electronic remittances and bank deposits.
• Works with Specialty Payers and other facilities to ensure compliance and payment. Transfers charges between Patient and Facility accounts as required.
• Escalates problem accounts as needed and leads appeal process.
• Receives, review and takes actions for all communications within the business office.

Physical Requirements

Requires sitting for long periods of time. Requires bending and may need to lift-up to 10 pounds occasionally.

Education, Experience and Certifications

High school diploma or GED required. One-year experience in related financial services or healthcare business office required. College (bachelor's or associate) degree preferred. Requires the ability to communicate effectively in verbal and written formats. Proficiency in Word, Excel and Outlook preferred. Prior healthcare computer system and specifically Epic billing experience preferred.

About Us

Atrium Health is one of the nation's leading healthcare organizations, connecting patients with on-demand care, world-class specialists and the region's largest primary care network. A recognized leader in healthcare delivery, quality and innovation, our foundation rests on providing clinically excellent and compassionate care.

We've been serving our community since 1940, when we opened our doors as Charlotte Memorial Hospital. Since then, our network has grown to include more than 40 hospitals and 900 care locations ranging from doctors' offices to behavioral health centers to nursing homes.

Our focus : Delivering the highest quality patient care, supporting medical research and education, and joining with partners outside our walls to keep our community healthy.

About the Team

Our Mission Statement, Vision and Values

Our Mission : To improve health, elevate hope and advance healing - for all.

Our Vision : To be the first and best choice for care.

Our Values : We recognize that employees are our most valuable asset. We have identified four core values we hold in the highest regard : caring, commitment, integrity and teamwork.