The Patient Accounts Specialist follows up on all third-party payer accounts receivable and appeals.
Responsibilities include:
- Ensures maximum cash flow and protects the organization from losses through billing, collections, and revenue cycle functions related to claims submission.
- Acts as a liaison with patients, other departments, and Patient Financial Services teammates to obtain information related to claims processing and payment.
- Interacts with peers and state, federal, and local regulatory agencies to ensure compliance with billing and reimbursement requirements and statutes.
- Stays current on regulatory and governmental agency requirements regarding billing and reimbursement.
- Obtains health insurance information and appropriate authorizations needed for services, as appropriate.
- Communicates with all departments as needed.
- Facilitates resolution of third-party receivables by contacting external departments and payors, as appropriate.
- Performs daily standard work, including third-party follow-up and reporting activities.
- Performs other duties as assigned.
Requirements & Qualifications
Education and experience
- High school diploma required.
- Associate degree preferred.
- Minimum of two years of experience performing hospital accounts receivable or other relevant experience.
Certifications
- CRCS or HBI certification preferred.
Benefits & Perks
- Medical, dental, and vision insurance
- Retirement plan with employer contribution / match
- Paid time off
- Tuition assistance benefits
- Employee referral bonus program
- Paid holidays
- Disability and life/AD&D coverage for full-time employees
- Wellness programs
- Employee assistance programs
Location
Maryland, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago