Patient Accounts Spec I

 Posted 2 days ago
     
0-2 years experience
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AI Summary

The Patient Accounts Specialist I is responsible for accurate billing, timely submission of claims, and pursuing reimbursement from third-party payers and patients. They manage account documentation, resolve billing holds, and handle patient and insurance inquiries to resolve payment issues.

Position Summary

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A Brief Overview

The Patient Accounts Specialist I is responsible for accurately billing patient accounts, ensuring timely submission and reimbursement from various third-party payers and patients, ensuring proper account documentation in the facility's billing system, and pursuing follow-up efforts on aged accounts.


Responsibilities

What you will do

  • Determine patient’s ability to pay and seek additional assistance either through optional payment plans or uncompensated care
  • Resolves bill holds by correcting issues that prevent a claim from being billed.
  • Receives, documents, and responds to all patient correspondence in a prompt and courteous manner.
  • Reviews error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission.
  • Communicates with payers and/or patients to resolve anticipated issues.
  • Answers inquiries received via telephone & other correspondence for patients/guarantors, insurance carriers, and departments as needed.
  • Responsible for account follow-up for all assigned accounts.
  • Maintains system work queues based on electronic payers' error reports as assigned including but not limited to DNB, Claim Edits, Front End Rejections, and No Response from payers
  • Assists Patient Accounts Specialist Rep II/III with ongoing projects and departmental activities as assigned
  • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.
  • Maintains compliance with all Orlando Health policies and procedures.
  • Participates in departmental meetings
  • Performs other duties as assigned

Qualifications

Qualifications

  • High School diploma or GED required.
  • Must complete Orlando Health team member development within 6 months of hire date
  • Basic knowledge of Microsoft applications (Outlook, Word, Excel, PowerPoint)
  • Minimum of one (1) year experience in revenue cycle.

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