Patient Account Coordinator (Insurance Specialist)

The Patient Accounts Coordinator supports the clinic's revenue cycle and daily operations by handling patient insurance entry and verification, assisting with billing-related tasks, and providing front office coverage as needed. This role works closely with the billing team, front desk staff, Billing Supervisor, Billing Specialist, referral coordinator, and medical records coordinator.

Key responsibilities include:

• Gathering, updating, and verifying patient demographics, insurance coverage, benefits, portal enrollment, and financial status.
• Verifying insurance eligibility and benefits through EMR systems, payer portals, and other required methods.
• Reviewing uninsured or individual plan coverage cases and helping patients understand insurance and self-pay options.
• Collecting copays, coinsurance, deposits, and other payments; processing payments and reconciling daily deposits.
• Setting up payment plans, updating card-on-file information, and generating patient statements.
• Running reports and supporting business operations analysis.
• Cross-training to assist with urgent referral submissions and front desk coverage.
• Maintaining accurate, confidential billing records in compliance with HIPAA.
• Providing warm, professional support to patients and families in a pediatric setting.