Job Description

PURPOSE OF THIS POSITION

The primary purpose of the Patient Accounting Specialist is to fulfill the billing and collections functions related to all patient or client accounts assigned and maintain compliant and accurate documentation on all account activity.

JOB DUTIES/RESPONSIBILITIES

• Duty 1: Assure accurate and timely claim submission to the respective payers to achieve revenue, cash collections and A/R objectives.
• Duty 2: Assures confidentiality of patient information. Maintains compliant documentation and records in accordance with Federal and State regulations in patient account files. Accurately documents all account activity. Adheres to all HIPAA related privacy, security and transaction & code set regulations in compliance with the Federal guidelines.
• Duty 3: Performs primary and secondary billing functions related to all client or patient accounts, including the creation of a detailed bill and required primary & secondary insurance claims forms as applicable. Understands payer specific guidelines for prompt payment and reduction of A/R.
• Duty 4: Accountable for the posting of cash receipts in an accurate and timely manner that will ensure correct reporting of aging accounts.
• Duty 5: Operates all departmental equipment, performs clerical functions and data entry, typing and filing. Develops, interprets and utilizes computer reports as required to accomplish timely & accurate reporting within Patient Financial Services and BVRHC for account billing and follow up.
• Duty 6: Regularly attends and actively participates in staff meetings, in-service and continuing education programs as offered. This provides needed educational updates for compliancy & organizational changes in the healthcare industry.
• Duty 7: Develop and collect pertinent data related to metrics established to monitor department performance. Propose improvement initiatives for the department.

REQUIRED QUALIFICATIONS

• Associate’s degree in Business Administration with a focus on Accounting or equivalent professional experience.
• Friendly and outgoing personality in dealing with patients/customers (both internal and external).
• Flexible with ability to multi-task and be committed to our mission.
• Proficient in the use of computers, such as word processing, spreadsheets, etc.
• A basic knowledge of general accounting practices and office procedures.
• Medical terminology experience.
• Strong attention to detail and the ability to problem solve.
• Positive service-oriented interpersonal and communication skills.
• Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status. Must be able to interpret the appropriate information needed to identify each patient’s requirements relative to their age-specific needs and to provide the care needed as described in the area’s policies and procedures

PREFERRED QUALIFICATIONS

• Word processing and experience with Microsoft Excel.
• Experience with commercial, government, physician and hospital billing
• 2 years medical billing experience
• ICD-10 and/or CPT Coding knowledge
• CRT Data Entry, typing, filing and/or PC experience

PHYSICAL DEMANDS

This position requires a full range of body motions with intermittent walking, lifting, bending, squatting, kneeling, twisting, and standing. The associate may be required to walk for up to one hour a day, sit for six to eight hours a day and stand for one hour a day. The individual must have excellent verbal communication skills to perform daily tasks. The associate must have corrected vision and hearing in the normal range. The individual must be able to complete basic math problems.

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