Patient Account Specialist - FT

Arkansas Heart Hospital - Little Rock, AR

Full-time

Little Rock, AR

Hospitals

About the position

The Patient Account Specialist 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, requiring knowledge of financial assistance programs and proficiency in billing and collections using automated systems. The position also involves assisting in revenue cycle initiatives and requires the ability to work independently.

Responsibilities

• 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 reimbursement issues.
• Develop recommendations to maintain efficient billing processes.
• Maintain an insurance company master list.
• Coordinate with nursing, emergency room, patients, families, and physician's offices regarding insurance benefits.
• Process all monetary transactions and report daily to the supervisor.
• Maintain accurate patient accounts including deductibles, co-payments, and pending claims.
• Input accurate insurance information into patient accounts as 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 and contact third-party payers or patients for timely payment.
• Ensure reconciled placements and activity with all agencies for all entities.
• Review status updates regularly to identify variances between organizations.
• Monitor the MedAssets Chargemaster system and coordinate updates from ancillary departments.
• Key daily updates in the HPF system for payment distribution and correspondence.
• Follow up on payment plans as assigned by the supervisor.
• Provide backup for admission/registration and pre-certification benefits verification functions.
• 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.