Patient Account Specialist

We're Hiring : Patient Account Specialist!

We are seeking a detail-oriented and highly motivated  Patient Accounts Specialist – Collections  to join our Patient Financial Services team at a leading healthcare system in Baltimore. In this role, you will be responsible for the accurate and timely follow-up of third-party and patient billing accounts. This is a key position ensuring financial accuracy and promoting revenue cycle performance through effective collections, denial resolution, and payer communication.

This role is ideal for professionals with a strong background in hospital collections, excellent analytical skills, and a passion for delivering outstanding patient service.

Location : Baltimore, United States

Role : Patient Account Specialist - Collections

Key Responsibilities :

• Review adjudicated claims to verify timely and appropriate reimbursement.
• Research and resolve unpaid claims; correct and resubmit or reprocess as needed.
• Submit adjustment requests daily in accordance with payer guidelines.
• Verify account balances for accuracy by reviewing charges, payments, and adjustments.
• Review Explanation of Benefits (EOB) documents to resolve underpayments and denials.
• Work directly with insurance carriers to appeal denied claims and pursue underpayments.
• Track and identify denial trends and work proactively to address recurring issues.
• Confirm insurance eligibility and ensure compliance with authorization / referral requirements.
• Prepare and submit appeals and reconsideration requests within payer timelines.
• Collaborate with refund specialists to initiate insurance refund requests as needed.
• Meet established productivity benchmarks and quality expectations.
• Respond professionally to patient inquiries and maintain a high level of customer service.
• Maintain strict confidentiality of all patient and organizational information.
• Work collaboratively across departments to support overall revenue cycle performance.
• Participate in quarterly payer meetings and stay current with payer updates and policies.

Minimum Qualifications :

Desired Attributes :

Ready to make an impact? 🚀 Apply now and let's grow together!