Account Specialist I

Job Overview

The major purpose of this position is to expedite positive cash flow, maximize reimbursement, and reduce or eliminate financial loss to department customers by accurate efficient timely billing, follow-up and collections of patient accounts.

Duties include:

In charge of the timely and accurate follow-up on all patient account balances;
In charge of processing the specified number of accounts on a daily basis based on customer specialty and unique billing requirements;
In charge of understanding both Government & Non Government Contractual billing and Follow-up guidelines, based on individual payers;
Responsible for contacting Government, Non Government & Self payers regarding lack of payment or improper payment;
Resolves all incorrect payment issues and ensures that balances after insurance payments are correct based on contracts with individual payers;
Displays quality customer service to internal/external customers, by providing timely/accurate information, and works to ensure that problems are resolved.

• High School Degree
• Proficient in EDI/PC applications
• 1-2 years experience in a related field

Collects insurance and self-pay dollars outstanding through interactions with payers and patients. Participates willingly in payer communications and supports other in sharing information and keeping others up to date. Prepares monthly status reports for submission to senior management. Reduce the outstanding accounts receivable associated with each assigned customer book of business as measured by cash collections and days in accounts receivable.

Responds to written and oral inquiries from customer contacts and insurance companies. Works insurance denials on a daily basis in order to identify errors, correct errors and resubmit claims for payment. Looks for trends and tracks statistics.

• Climbing
  - Rarely
• Hearing:
  Conversation
  - Consistently
• Hearing:
  Other Sounds
  - Frequently
• Kneeling
  - Occasionally
• Lifting 50+ Lbs.
  
  - Rarely
• Lifting