Patient Account Specialist

2 weeks ago


Ozark, Missouri, United States Mercy Full time
Position Overview:

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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