Patient Account Specialist

Responsibilities

• Perform audits of patient accounts to ensure accuracy and timely payment.
• Review account aging monthly, report inconsistencies, and correct errors.
• Contact patients regarding delinquent accounts and arrange mutually acceptable payment plans.
• Follow up on insurance billing to ensure timely receipt of payments.
• Resolve patient billing complaints and questions; initiate adjustments as necessary.
• Follow up on zero-payment explanations of benefits and pursue claim resolution.
• Review credit balance reports to identify the correct recipient of refunds.
• Reconcile refund accounts, attach documentation, and forward to a supervisor for refund processing.
• Identify account problems and follow through to resolution.
• Respond to insurance company requests for information promptly and professionally.
• Review files to identify deceased patients and estates; verify amounts and file estate claims in a timely manner.
• Make financial arrangements for payment of patient accounts and follow up on payment plan compliance.
• Respond to patient correspondence and phone calls regarding accounts.
• Review EOBs to ensure proper reimbursement of claims and report payor trends or issues to a supervisor.
• Resubmit insurance claims within 72 hours of receipt and help maintain payor manuals/profiles.
• Work with collection agencies to ensure updated account information is provided.
• Prepare write-off requests with appropriate documentation and submit to a supervisor.
• Process insurance and patient correspondence, including denial follow-up within 48 hours of receipt.
• Maintain patient account aging and confidentiality of clinic and corporate financial affairs.

Qualifications

• High school diploma or GED.
• Three years of experience in a medical business office setting with insurance processing and balancing responsibilities.