Patient Account Specialist-Full Time-Days

Facility

Cape Fear Valley Medical Center

Location

Fayetteville, North Carolina

Department

Patient Financial Services Operations

Job Family

Clerical

Work Shift

Days (United States of America)

Summary

Handles the complete processing of patient accounts with third party carriers from start to finish to include but not limited to : billing the claim either electronically or paper, supplying additional information necessary for claim adjudication, and answering patient and insurance company questions.

Major Job Functions

The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time :

• Submits primary insurance claims to all carriers using the electronic claims terminal or send hard copy claims
• Uses the on-line work list and account referrals to review accounts that are pending payment from insurance companies for additional information
• Validates the accuracy of patient information so that future billing and follow-up activities are conducted effectively and to ensure a high degree of customer service.
• Applies adjustments and write-offs to accounts according to policy and procedure to assure accurate account balances and statements
• Maintains a suspense file of accounts that need additional documentation for eligibility determination prior to billing
• Receives incoming calls from patients and / or insurance companies concerning open accounts and answers questions and provides information in a courteous and cooperative manner to maintain good customer relations
• Other duties as assigned

Minimum Qualifications

Education and Formal Training

Work Experience

Knowledge, Skills, and Abilities Required

Physical Requirements

Cape Fear Valley Health System is an Equal Opportunity Employer M / F / Disability / Veteran / Sexual Orientation / Gender Identity