Patient Accounts Specialist

The Patient Accounts Specialist is responsible for accurate and timely claims submissions, reimbursements, adjustments, and refunds for assigned insurance payers in accordance with current policies and procedures.

Responsibilities include:

• Filing claims with all appropriate payers
• Generating daily billing reports that reflect payer summaries of claims filed and amounts to be collected for submission to the Business Office Manager
• Transmitting billing electronically and manually in accordance with departmental deadlines
• Posting insurance company payments and adjustments accurately and timely
• Evaluating denials for reconciliation, rebilling, and follow-up
• Responding to calls and inquiries from third-party payers and individuals served regarding claims
• Maintaining and updating financial files, demographic information, historical data, financial status, and payer source
• Coordinating with other departments to obtain accurate clinical and demographic information to support timely billing and collections
• Working with staff on third-party verification and obtaining proper pre-certifications as needed
• Reviewing accounts receivable aging and billing error reports to support correction, reconciliation, and problem resolution
• Processing financial evaluations for sliding scale eligibility and maintaining financial documents