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Healthcare Account Specialist

2 months ago

Reno, Nevada, United States Reno Behavioral Healthcare Hospital Full time
Job Overview

Primary Responsibilities:

Patient Registration: Conducts pre-verification of insurance details for patients referred for treatment. Engages with patients or their relatives to gather essential information and confirm insurance coverage. Accurately inputs data into the computer system and prepares billing documentation.

Patient Census Management: Compiles and reconciles daily statistics for both outpatient and inpatient services, updating reports as necessary.

Financial Guidance: Provides estimates of patient financial responsibilities and discusses payment options with patients and their authorized family members upon admission. Establishes payment plans for self-paying patients and processes payments when applicable, recording transactions in the online payment system.

Daily Discharge Processing: Ensures the completeness of billing packets for discharged patients, scanning and indexing documents as required.

Mail Management: Handles all correspondence related to the Business Office, documenting authorizations, denials, and Explanation of Benefits (EOBs). Scans documents into the system and organizes them in the monthly Business Office files.

Deposit Preparation: Organizes deposits for cash or checks received at the facility.

Refund Processing: Reviews accounts receivable for overpayments and prepares refunds for patients or insurance companies when applicable.

Claim Inquiries: Addresses all inquiries from the Central Business Office regarding claim resolutions promptly.

Report Management: Downloads and formats reports from the Administrative Information System (AIS) for review and action.

This job description is intended to provide a general overview of the position. The employee may be required to perform additional related duties to meet the ongoing needs of the organization.

Qualifications:

Education and Experience:

  • High school diploma or equivalent is required.
  • Preferred two years of experience in a healthcare setting.
  • Familiarity with CPT/ICD-10 coding is advantageous.
  • Proficient understanding of medical terminology and insurance billing processes.
  • Certification in Crisis Prevention Intervention (CPI) to be obtained within 60 days of hire.

Skills and Competencies:

  • Maintains patient confidentiality at all times.
  • Proficient in using software and equipment, including Microsoft Office Suite (Outlook, Word, Excel, PowerPoint).
  • Strong organizational abilities with a capacity to prioritize tasks, work independently, manage multiple responsibilities, and meet deadlines.
  • Excellent written and verbal communication skills.
  • Strong interpersonal skills, capable of interacting with individuals from diverse backgrounds and educational levels.
  • Able to work autonomously as well as collaboratively within a team.
  • Demonstrates good judgment, problem-solving, and decision-making capabilities.
  • Ability to thrive in a fast-paced, evolving environment.

Physical Demands:

While performing the duties of this role, the employee is frequently required to:

  • Utilize standard office equipment and access, input, and retrieve information from a computer. Requires manual dexterity and wrist-finger speed for extended periods.
  • Communicate effectively in person or via telephone in a manner that is understandable to a diverse audience.
  • Follow verbal and written instructions with precision and attention to detail.
  • Engage in complex mental functions and basic arithmetic; interpret intricate laws, regulations, and policies; collect, analyze, and interpret complex data.
  • Maintain close vision for detail-oriented tasks.
  • Simultaneously coordinate multiple tasks.
  • Reach in various directions and maintain a sitting or standing position for extended periods.
  • Lift up to 30 pounds and exert up to 100 pounds of force occasionally, and/or up to 30 pounds of force frequently.

Benefits:

We are proud to offer a comprehensive benefits package available on the first of the month following just one month of employment, including:

  • Competitive compensation
  • Tuition reimbursement
  • A full suite of benefits, including:
    • Medical
    • Dental
    • Vision
  • Life, Pet, and Identity Theft Insurance
  • 401(k) plan
  • Generous paid time off
  • Short-Term and Long-Term Disability coverage