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Advanced Patient Account Specialist

2 months ago

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

Position Type: Full-time, in-office

Location: North Phoenix

ROLE SUMMARY:

The Advanced Patient Account Specialist plays a pivotal role in providing sophisticated collection support to enhance the efficiency of accounts receivable management. This position is essential in aligning with the company's mission and adhering to established policies and procedures.

KEY RESPONSIBILITIES:

  1. Coordinate the resolution of outstanding receivables for both complete and partial balance accounts, focusing on specific payors.
  2. Stay informed about contractual agreements and promptly report any discrepancies in reimbursement patterns.
  3. Facilitate effective communication between the billing services and patients.
  4. Assist management with various projects and tasks as needed.
  5. Monitor payment activities and contractual adjustments, initiating corrections for any inaccuracies.
  6. Secure payment on accounts aged over 45 days, while also monitoring and appealing accounts under 45 days as necessary.
  7. Maintain documentation for payer reimbursements as required.
  8. Follow up with payors regarding claims, ensuring timely responses to denials and requests for additional documentation.
  9. Initiate appeals and manage the hearing process for disputed claims.
  10. Prepare accounts for external agency intervention when necessary, ensuring all protocols are followed.
  11. Keep abreast of provider manuals and billing guidelines.
  12. Report any inconsistencies in payer activities to management.
  13. Address patient inquiries through incoming communications.
  14. Maintain an average workload of 1675 patient accounts monthly.

ADDITIONAL DUTIES:

  1. Assist with billing functions as required.
  2. Meet deadlines and provide updates to management.
  3. Help with the mailing of claims and related correspondence.
  4. Complete daily status reports as directed.
  5. Support special projects as needed.
  6. Notify management of any discrepancies or changes in payer activities.
  7. Perform other duties as assigned.

QUALIFICATIONS:

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

Benefits:

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