Patient Account Specialist

Job Description

Job Description

DESCRIPTION : Perform a variety of functions to facilitate the Patient Account Department. This position performs the full range of assignments with general supervision. Patient Account Specialist is responsible for ensuring timely and accurate reimbursement for medical services provided. This role involves managing patient accounts, handling collections, posting insurance and self-pay payments, reconciling daily postings, and maintaining accurate records. The specialist will work closely with patients, insurance companies, and internal teams to resolve outstanding balances, facilitate the billing process, and support the overall financial health of the organization.

EXAMPLES OF WORK : (A position may not be assigned all the duties listed, nor do the listed examples include all the duties that may be assigned.)

Key Responsibilities :

• Billing & Collections :

o Send out patient statements and ensure timely follow-up on outstanding balances.

o Review accounts and assign accounts to bad debt as appropriate.

o Contact patients to discuss outstanding balances and payment options.

o Set up and manage auto-drafts for patients with ongoing payment plans.

o Monitor and track self-pay accounts receivable (AR) and resolve issues as needed.

o Accurately post self-pay payments and insurance payments to patient accounts.

o Reconcile daily payment postings and resolve any discrepancies.

o Regularly review and reconcile accounts, ensuring payments are applied correctly and accounts are up to date.

o Investigate and resolve any posting errors or discrepancies with insurance companies and patients.

o Take and respond to incoming phone calls from patients, insurance companies, and other stakeholders regarding billing and payment inquiries.

o Sort, organize, and scan patient correspondence and documents for record-keeping purposes.

o Track and report on self-pay AR, providing updates and insights to management as needed.

o Document all communication and actions taken on patient accounts in accordance with company policies and industry standards.

o Assist with special projects and ad-hoc duties as needed, such as researching and resolving complex billing issues, supporting audits, or implementing process improvements.

REQUIRED SKILLS & QUALIFICATIONS :

WORK ENVIRONMENT :

This position typically operates in an office setting with a mix of administrative and customer service responsibilities. The role may involve some phone-based customer service, office work, and collaboration with team members.