Patient Account Specialist II
2 months ago
We are seeking a highly skilled Patient Account Specialist II to join our team at KPC GLOBAL MEDICAL CENTERS INC. This role will be responsible for performing account follow-up from third-party payers, including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other non-governmental third-party payers.
Key Responsibilities:
- Collecting and appealing denied claims
- Managing billing and adjustments
- Reviewing Explanation of Benefits (EOBs)
- Corresponding with payers and patients
- Assisting new team members with onboarding
- Working on special projects as assigned by management
Requirements:
- High School Diploma or equivalent
- Experience in a hospital setting, with a strong emphasis on managed care contract and appeals/underpayment collection activities
- Knowledge of collection techniques and laws
- Knowledge of medical terminology and CTP/HCPS codes
- Strong analytical skills and proficiency with spreadsheets
What We Offer:
- A dynamic and supportive work environment
- Opportunities for professional growth and development
- A competitive salary and benefits package
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