Position Objective:

The Patient Accounts Specialist, follows up & performs follow up on all third-party payer accounts receivable and appeals.

Essential Job Duties:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Ensures maximum cash flow and protects organization from losses by billing and collection along with the revenue cycle functions of claims submission.

Acts as a liaison with patients, other departments and fellow Patient Financial Services (PFS) teammates to obtain information related to claims processing and payment.

Interacts with industry-wide peers, state, federal and local regulatory agencies to ensure compliance with billing and reimbursement requirements and statutes.

Remains current on all regulatory and governmental agency requirements regarding billing & reimbursement for payer requirements and statutes.

Obtains all 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. 

Follows Standard work daily includingthird-party follow up and reporting activities.

Other duties. as assigned.

Educational/Experience Requirements:

High School Diploma required.

Associate’s degree preferred.

Minimum two years of experience performing hospital accounts receivable, or other relevant experience.

Required License/Certifications: 

CRCS or HBI Certification required within 12 months of start date in the role.

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.

Physical Demands -

_{Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.}

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.