Patient Account Specialist Senior
Overview
The PatientAccount Specialist Senior plays a crucial role in the healthcareorganizations revenue cycle management by overseeing the billingand payment process.
This position requires a thoroughunderstanding of healthcare financial systems complianceregulations and medical coding practices to ensure accurate andefficient claims management.
KeyResponsibilities
- Manage and resolvecomplex patient accounts and billingissues
- Review analyze and process insuranceclaims and rejections
- Ensure compliance withbilling and coding regulations
- Collaborate withmedical staff and insurance companies to resolve paymentdiscrepancies
- Provide training and guidance tojunior staff on billing processes
- Identifyopportunities for process improvement and revenueoptimization
- Monitor accounts receivable andfollow up on outstanding balances
- Generatefinancial reports and analysis for managementreview
- Assist in the implementation of newbilling and coding procedures
- Respond topatient inquiries and provide information on billing and accountstatus
- Participate in audits and compliancereviews
- Stay updated on changes in healthcarebilling and coding guidelines
- Collaborate withcrossfunctional teams to resolve billingrelatedissues
- Ensure accurate and timely submission ofclaims to insurance providers
- Handle escalatedcustomer inquiries andcomplaints
RequiredQualifications
- Bachelor s degree inHealthcare Administration Business or relatedfield
- 3 years of experience in healthcarerevenue cycle management
- Demonstratedproficiency in medical billing andcoding
- Knowledge of healthcare complianceregulations (HIPAA OIG etc.)
- Experience workingwith healthcare billing software and EMRsystems
- Strong analytical and problemsolvingskills
- Excellent communication andinterpersonal abilities
- Ability to work underpressure and meet deadlines
- Certification inMedical Billing and Coding (e.g. CPC)
- Thoroughunderstanding of insurance verification andeligibility
- Familiarity with ICD10 CPT andHCPCS coding systems
- Detailoriented with afocus on accuracy in financial data
- Proficientin MS Office especially Excel and Word
- Abilityto adapt to changes in healthcare billingpractices
- Strong knowledge of healthcarereimbursementmethodologies
communication,compliance,medicalcoding
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