Patient Account Specialist

Position Summary

• Monitors assigned group of accounts to ensure proper and timely processing of medical claims. Reports problems or discrepancies to management.

• Work Experience
  • One year of experience working with third party payors required.
• Education
  • High school graduate or equivalent preferred.
• Certifications/Licensure
  • None required.

• The duties listed below are a summary of the major essential functions of this position. The position may require other duties, both major and minor, that are not mentioned, and specific functions may change from time to time.
  • Answers incoming calls and greets visitors to department within a timely fashion. Determines nature of call/visit and provides appropriate response, guidance. Refers more complex issues appropriately.
  • Takes messages and/or refers visitor/caller to appropriate person.
  • Maintains tracking system for assigned areas and reports performance results.
  • Monitors and reports issues of compliance and performs necessary research to resolve and implement changes in procedure to ensure compliance.
  • Monitors accounts receivable for compliance to contract.
  • Monitors assigned accounts for proper reimbursement from all payers and identifies indications of quality problems, and reports these to management.
  • Correctly identifies and monitors adjustments to patient accounts.
  • Compiles reports to monitor account status and presents to the unit supervisor for review and discussion on a regular basis and reports statistics to management.
  • Monitors processes of account representatives and reports discrepancies to CFM supervisor.