Patient Account Specialist

1 month ago

Glendale, Arizona, United States Midwestern University Full time

Job Summary

The Patient Account Specialist is a key member of the Finance Department at Midwestern University, responsible for protecting and recovering patient reimbursements. This role reports to the Manager of Patient Accounts for the Centralized Billing Department.

Key Responsibilities

Process claims, including:

  • Preparing and submitting medical, vision, dental, and workers' compensation claims electronically for multispecialty departments
  • Printing and mailing paper insurance claims
  • Identifying and resolving claim delay issues that impact billing
  • Resolving COB discrepancies
  • Following up on all claims from billing through final resolution to ensure timely receipt of payment
  • Resubmitting insurance claims within 72 hours from denial receipt

Perform billing functions, including:

  • Contacting payers on unpaid balances
  • Preparing write-off requests with appropriate documentation and submitting to the Manager of Patient Accounts
  • Working within university clinic policies, procedures, and guidelines to coordinate and resolve issues through the understanding and application of collection techniques
  • Working system collection reports, such as aged trial balances and data searches
  • Preparing and following up on appeals
  • Ensuring Federal and state collection/follow-up requirements and regulations are achieved and implementing changes directed by regulatory agencies as necessary
  • Identifying key issues and taking appropriate action to ensure revenue maximization on individual accounts
  • Performing cashiering, billing, refunds to patients and third parties, payment plans, and collections
  • Working in conjunction with the Manager of Patient Accounts to help reach and maintain financial and accounts receivable goals for the clinic
  • Assisting with cash posting from EFT, Lockbox, and Daily Deposits

Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. This individual must have the ability to work in a constant state of alertness and safe manner and must have regular, predictable, in-person attendance. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Other qualifications include:

The position requires strict compliance with all policies and procedures. This position requires a significant amount of interaction with the public and many internal customers, and therefore, the individual must be able to develop positive rapport effectively.

Education and/or Experience

A high school diploma or GED and a minimum of 3-5 years of accounts receivable experience working in a healthcare setting or medical office environment are required. Knowledge of ICD-10, CPT, HCPCS, and medical terminology are required. Experience working with Medicare, Medicaid, and third-party payers is also required. Coding certification is preferred.

Computer Skills

Computer proficiency in MS Office (Word, Excel, Outlook) is needed. Experience using medical practice management software is required.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit, talk, and hear. The employee must regularly use hands to handle or feel and reach with hands and arms. The employee is occasionally required to stand and walk. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Midwestern University is a private, not-for-profit organization that provides graduate and post-graduate education in the health sciences. The University has two campuses, one in Downers Grove, Illinois, and the other in Glendale, Arizona. More than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences, and veterinary medicine. Over 500 full-time faculty members and 400 staff members are dedicated to the education and development of our students in an environment that encourages learning, respect for all members of the health care team, service, interdisciplinary scholarly activity, and personal growth.

We offer a comprehensive benefits package that includes medical, dental, and vision insurance plans as well as life insurance, short/long-term disability, and pet insurance. We offer flexible spending accounts, including healthcare reimbursement and child/dependent care account. We offer a work-life balance with competitive time off package, including paid holidays, sick/flex days, personal days, and vacation days. We offer a 403(b) retirement plan, tuition reimbursement, child care subsidy reimbursement program, identity theft protection, and an employee assistance program. Wellness is important to us, and we offer a wellness facility on-site with a fully equipped fitness facility.

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