Patient Account Specialist, RCM

As a Patient Account Specialist, you will serve as a key point of contact for patients by responding to account inquiries via phone and electronic communication. In this role, you will resolve billing and payment issues, follow up on patient account balances, and support timely reimbursement by managing patient accounts within your assigned area of the Revenue Cycle. Your work will help maximize reimbursement, expedite positive cash flow, and provide an exceptional patient financial experience.

• High School Diploma required
• Two years of experience in healthcare administration/revenue cycle
• CRCR Certification preferred

• Demonstrates excellent customer service
• Ability to convey empathy
• Strong problem‑solving, problem prevention, and decision‑making skills
• Ability to manage and prioritize multiple tasks in a fast‑paced environment
• Excellent oral and written communication skills
• Ability to maintain composure and restore calm in a stressful situation
• Uses good judgment and diplomacy when dealing with others
• Desire and ability to work in a team environment
• Computer proficient with the ability to learn multiple software applications
• Ability to work with minimal supervision

• Help develop and maintain a corporate culture that supports the mission and values of Mayfield Clinic
• Follow up on patient account balances in an accurate and timely manner; make account corrections and facilitate claim resubmission to overturn denials, collect patient payments, and process over payments/refund requests as required.
• Make all necessary corrections to patient accounts as needed to pass the billing edits/payer requirements and resubmit to payers
• Contact patients or respond to their incoming calls regarding unpaid claims. Research and/or ensure that questions and requests for information are addressed in a timely and professional manner to ensure resolution and reimbursement.
• Facilitate timely and accurate posting of patient payment information and follow up as needed to ensure full, expected reimbursement for services provided.
• Maintain documentation and update the practice management system for appropriate claims submission and other pertinent information to identify action taken.
• Make necessary adjustments as appropriately required by plan reimbursement and company policy.
• Prioritize patient accounts based on aging and outstanding dollar amounts or as directed by management.
• Research and initiate requests for refunds for accounts with credit balances.
• Answer and initiate phone inquiries regarding bills, charges, claims, and account status.
• Update data in the practice management system as required.
• Contribute to the team environment by performing other duties as assigned.