What are the responsibilities and job description for the Patient Account Resolution Specialist position at CoreLife?
Job Overview
A Patient Account Resolution Specialist plays a vital role in managing and resolving patient accounts with outstanding balances. This position involves working closely with patients, insurance companies, and internal teams to ensure accurate and timely payment processing.
About the Role
This is an in-person position at our Corporate Office in Linthicum, MD. We are seeking a dedicated professional to join our team in managing patient accounts and ensuring compliance with healthcare regulations, privacy laws, and internal policies. The ideal candidate will have a deep understanding of healthcare billing practices, insurance claims processes, and excellent communication skills.
Key Responsibilities:
A Patient Account Resolution Specialist plays a vital role in managing and resolving patient accounts with outstanding balances. This position involves working closely with patients, insurance companies, and internal teams to ensure accurate and timely payment processing.
About the Role
This is an in-person position at our Corporate Office in Linthicum, MD. We are seeking a dedicated professional to join our team in managing patient accounts and ensuring compliance with healthcare regulations, privacy laws, and internal policies. The ideal candidate will have a deep understanding of healthcare billing practices, insurance claims processes, and excellent communication skills.
Key Responsibilities:
- Account Management
- Monitor and manage a portfolio of patient accounts with outstanding balances.
- Review patient accounts to determine appropriate actions for collections.
- Ensure balances are accurately updated in the billing system.
- Insurance Payment Coordination
- Follow up with insurance companies on unpaid or denied claims.
- Verify insurance benefits and eligibility as required.
- Submit appeals for denied claims and track progress.
- Resolve discrepancies and issues with insurance payments.
- Patient Communication
- Contact patients regarding outstanding balances and explain their account status.
- Set up payment plans, ensuring patients understand and agree to the terms.
- Address patient inquiries and concerns regarding their accounts and insurance payments.
- Educate patients on insurance coverage and financial responsibilities.
- Documentation and Reporting
- Maintain accurate records of patient interactions, payment arrangements, and insurance communications.
- Submit regular reports on collections, outstanding balances, and account resolutions.
- Ensure compliance with healthcare regulations, privacy laws, and internal policies.
- Collaboration
- Work closely with the billing department to resolve issues and ensure accurate claim submissions.
- Coordinate with the customer service team to address patient concerns promptly.
- Collaborate with the finance team to reconcile accounts and ensure proper payment allocation.
