Job Description

Position Summary

The Patient Accounts Specialist I is responsible for accurately billing patient accounts, ensuring timely submission and reimbursement from various third-party payers and patients, ensuring proper account documentation in the facility’s billing system, and pursuing follow-up efforts on aged accounts.

Essential Functions

• Determine patient’s ability to pay and seek additional assistance either through optional payment plans or uncompensated care
• Resolves bill holds by correcting issues that prevent a claim from being billed.
• Receives, documents, and responds to all patient correspondence in a prompt and courteous manner.
• Reviews error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission.
• Communicates with payers and/or patients to resolve anticipated issues.
• Answers inquiries received via telephone & other correspondence for patients/guarantors, insurance carriers, and departments as needed.
• Responsible for account follow-up for all assigned accounts.
• Maintains system work queues based on electronic payers' error reports as assigned including but not limited to DNB, Claim Edits, Front End Rejections, and No Response from payers

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