Advanced Patient Account Specialist

1 week ago


Phoenix, Arizona, United States Pathology Billing Services Full time
Job Overview

Position Type: Full-time, In-office

Location: North Phoenix

POSITION SUMMARY:

The Advanced Patient Account Specialist plays a crucial role in supporting the Pathology Billing Services, LLC by providing extensive collection activities aimed at optimizing the recovery of accounts receivables. All personnel are expected to align with the organization's objectives and adhere to established policies and procedures.

KEY RESPONSIBILITIES:

  1. Serve as the primary contact for resolving outstanding balances on accounts assigned for various payors.
  2. Keep abreast of contractual agreements and promptly report any discrepancies in reimbursement patterns to management.
  3. Facilitate effective communication between the billing service and patients.
  4. Assist management with special initiatives and tasks as required.
  5. Monitor payment activities and adjustments on patient accounts, initiating corrections for any inaccuracies.
  6. Follow up on accounts that are over 45 days old to secure payment.
  7. Track accounts under 45 days and appeal as necessary.
  8. Maintain detailed records for payer reimbursements as needed.
  9. Conduct follow-ups on claims based on defined intervals and statuses, ensuring timely responses to denials and requests for additional documentation.
  10. Initiate appeals and manage disputes to ensure reimbursement is secured.
  11. Oversee the process of referring unpaid patient accounts to external agencies after thorough assessment.
  12. Stay informed about provider manuals and billing regulations.
  13. Report any irregularities in payer activities or software to management.
  14. Address patient inquiries effectively through incoming communications.
  15. Maintain an average of managing 1675 patient accounts monthly.

ADDITIONAL DUTIES:

  1. Support billing operations as needed.
  2. Meet deadlines and communicate progress with management.
  3. Assist with the mailing of claims and correspondence.
  4. Complete daily status reports as directed.
  5. Participate in special projects as required.
  6. Notify management of any inconsistencies or changes in payer activities.
  7. Perform other related duties as assigned.

REQUIRED QUALIFICATIONS:

  • 1 to 5 years of advanced billing support experience in a corporate environment.
  • Experience with AHCCCS and Medicare payors is essential.
  • Proficiency in business software, including word processing and spreadsheets.
  • Strong verbal and written communication skills for effective interaction with management.
  • Excellent organizational abilities and capacity to manage multiple priorities while meeting deadlines.
  • Ability to handle sensitive information with confidentiality.
  • Independent judgment and decision-making skills.
  • Familiarity with standard office equipment.
  • Physical ability to lift at least 35 pounds and maintain prolonged periods of sitting.

COMPENSATION AND BENEFITS:

Pathology Billing Services offers competitive compensation along with a comprehensive benefits package, including health insurance, dental coverage, vision insurance, paid time off, retirement contributions, and flexible spending accounts.



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