Patient Account Specialist - FT

Arkansas Heart Hospital - Little Rock, AR

Full-time - Mid Level

Little Rock, AR

Hospitals

About the position

The Patient Account Specialist at Arkansas Heart Hospital is responsible for processing billings for patients and third-party payers, addressing billing issues, and following up on outstanding claims. This role serves as a liaison between patients and various agencies, ensuring efficient billing processes and compliance with financial assistance programs. The specialist must be knowledgeable about Medicaid, Medicare, and other financial assistance programs, and proficient in automated billing systems.

Responsibilities

• Review and process inpatient and outpatient bills to patients and third-party payers on predetermined schedules.
• Serve as a liaison with third-party payers/agencies regarding billing and optimal reimbursement issues.
• Develop recommendations to maintain efficient and effective billing processes.
• Maintain an insurance company master list.
• Act as a liaison to nursing, emergency room, patients, families, and physician's offices regarding insurance benefits.
• Process all monetary transactions appropriately and report daily to the supervisor.
• Maintain accurate patient accounts including deductibles, co-payments, co-insurance, and pending claims.
• Perform data input of accurate insurance information to patient accounts when necessary.
• Handle billing inquiries over the telephone and in person.
• Monitor rejected claims and coordinate research for filing appeals with third-party payers.
• Process past-due accounts with insurance balances and contact third-party payers or patients as necessary.
• Ensure all placements and activity remain reconciled with all agencies for all entities.
• Review status updates regularly to identify variances between organizations.
• Monitor MedAssets Chargemaster system and coordinate updates from ancillary departments.
• Key daily updates in the HPF system to distribute payments and correspondence to appropriate patient folders.
• Perform follow-up of payment plans as assigned by the supervisor.
• Provide backup for admission/registration and pre-certification benefits verification functions when necessary.
• Maintain patient files and insurance logs as defined in policy.
• Serve as backup for self-pay accounts and collection functions.

Requirements

• High school diploma or equivalent required.
• Associate of Science preferred.
• Minimum of three years experience in medical insurance billing and/or claims processing/research required.