Patient Accounts Specialist

Job Description

Job Description

I. BASIC FUNCTION :

Provides all necessary assistance in maintaining current billing procedures, billing objectives, and assistance to the Patients Accounts Manager. The basic function can be accomplished by meeting the billing department objectives as stated below or as modified :

1) Gross accounts receivables >

120 days should stay under 30% of the gross accounts receivables.

2) Days of gross charges in accounts receivables should be less than 60.

3) All charges should be posted within 3 days from the date of service.

4) Self-pay collection rate should be 25% as measured by federal indicators.

All employees of FCHC must ensure service standards are delivered, including :

FCHC Core

• Demonstrates a commitment to FCHC mission and vision.
• Demonstrates a positive attitude towards patients, employees, role, and the health center.
• Demonstrates FCHC core values (accountability, courtesy, excellence, flexibility, integrity, respect).

Customer Service and Professionalism

Customers. Treats patients, customers and colleagues with dignity and respect.

approach.

Show(s)

backgrounds, supporting a culture of justice, equity, diversity, and inclusion.

Safety

JOB DESCRIPTION

DEPARTMENT : FINCANCE

JOB TITLE : PATIENT ACCOUNTS SPECIALIST

PATIENTS ACCOUNTS SPECIALIST

II. INTRADEPARTMENTAL RELATIONSHIPS :

Department Officer : Chief Financial Officer

Reports to : Patient Accounts Manager

Supervises : None

III. PRIMARY RESPONSIBILITIES :

1. Posts patient and third-party payments, including adjustments according to company policy to ensure accurate Accounts Receivable balances.

2. Uses Age Trial Balance Reports as a tool to monitor and work outstanding account balances which will help to ensure timely reimbursement and postings that comply with department policy.

3. Assists with cross-training of billing staff on all functions. Communicates with Patient Accounts Manager as needed to discuss billing problems / issues.

4. Processes patient encounters, both on-site and off-site, daily.

5. Assists patients in resolving billing problems or inquiries, either face-to-face or by telephone. Advises Patient Accounts Manager if special action is necessary. Assists patients in setting up payment plans.

6. Assists Patient Accounts Manager in resolving billing-related problems in the payment management system as required.

7. Maintains working knowledge of current Medicaid and other third-party regulations for billings to maximize payments. Communicates with Patient Accounts Manager when procedural changes are required.

8. Prepares administrative write-offs to be approved by the Patient Accounts Manager.

9. Operates as cashier collecting payment of fees for current or previous visits and providing receipts appropriately.

10. Helps to maintain open encounter list below department goals.

IV. PERIODIC DUTIES :

1. Contributes to Health Center community health activities outside of regular job responsibilities.

2. Participates in Health Center staff problem solving groups.

3. Attends and participates in department meetings, etc. as assigned.

4. Performs other duties as assigned.

PATIENTS ACCOUNTS SPECIALIST

V. WORKING RELATIONSHIPS :

Inside Health Center : All inclusive.

Outside Health Center : Patients / Clients, students, vendors, community health agencies, hospitals, insurance companies, Medicare / Medicaid, physician offices, etc.

VI. QUALIFICATIONS :

1. High School Diploma or G.E.D. Certificate required.

2. One (1) year medical office work experience or one (1) year automated medical billing experience required.

3. Knowledge of medical terminology preferred.

4. Computer and data entry experience preferred.

5. Must possess excellent customer service skills.

VII. CONFIDENTIALITY :

Respect for and maintenance of client and staff confidentiality is required.

The above responsibilities / duties describe the chief function (requirements) of the job (holder) and are not to be considered a detailed description of every responsibility / duty (requirement) of the job (holder).