Patient Account Specialist
2 weeks ago
The Patient Account Specialist plays a vital role in managing various aspects of patient account coordination, which includes verifying insurance benefits, handling denial management, and overseeing collections.
Key Responsibilities:
- Conduct thorough insurance and benefit verifications for patients.
- Manage and resolve denial issues effectively.
- Assist patients in enrolling in assistance programs, including drug copay cards.
- Monitor services provided and ensure accurate billing to assistance programs.
- Maintain a comprehensive understanding of claims programs and insurance regulations.
- Stay updated on changes in pre-certification and claims submission requirements.
- Communicate effectively with physicians, staff, patients, and insurance representatives.
- Serve as a resource for staff and patients, adhering to Mercy Service Standards.
Qualifications:
Education: Preferred completion of some college coursework in Business, Finance, or Accounting.
Experience: A minimum of three years of relevant experience is required.
Skills and Competencies:
- Strong interpersonal, organizational, and analytical skills.
- Ability to work under pressure and meet deadlines with accuracy.
- Proficient in using logic and good judgment to address issues promptly.
- Effective communication skills, both written and verbal.
- Capability to interact with management and colleagues in challenging situations.
What We Value:
At Mercy, we believe that compassion and professionalism are essential. A positive attitude and a strong sense of advocacy align perfectly with our mission. We foster a collaborative environment and are committed to delivering exceptional care.
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