Job Overview:

The Patient Accounts Receivable Specialist is responsible for managing the accounts receivable process for patient-related services. This role involves working with insurance companies, patients, and other departments to ensure that all patient balances are accurately billed and payments are collected in a timely manner.

Key Responsibilities:

• Billing and Invoicing: Prepare and submit patient invoices for services rendered, ensuring accuracy in charges.
• Payment Processing: Post payments and adjustments to patient accounts; monitor outstanding balances and assist in resolving payment issues.
• Insurance Verification: Verify insurance information for accuracy and ensure claims are submitted correctly to insurance providers.
• Follow-up on Claims: Track unpaid or denied claims, follow up with insurance companies or patients, and resolve any discrepancies or billing issues.
• Collections: Contact patients to remind them of outstanding balances, set up payment plans, and handle collections for overdue payments.
• Patient Communication: Answer patient inquiries related to billing and payment concerns, explaining charges, insurance coverage, and payment options.
• Account Reconciliation: Reconcile accounts by reviewing payments, adjustments, and outstanding balances.
• Reporting: Generate and review accounts receivable reports to ensure timely collection and identify any issues with billing or payment procedures.
• Compliance: Ensure all billing and collection practices comply with healthcare regulations and insurance policies.
• Collaboration: Work closely with other departments (e.g., insurance, finance, patient services) to resolve billing-related issues.

Skills and Qualifications:

• Education: High school diploma required; Associate’s degree or equivalent experience in healthcare administration or accounting preferred.
• Experience: Previous experience in medical billing, patient accounts receivable, or healthcare finance is preferred.
• Technical Skills: Proficient with accounting software and electronic health record (EHR) systems (e.g., Epic, Cerner, or other billing platforms).
• Communication Skills: Strong written and verbal communication skills for patient and insurance communications.
• Detail-Oriented: Strong attention to detail to ensure accurate billing and payment processing.
• Problem-Solving: Ability to identify billing issues, investigate discrepancies, and implement effective solutions.
• Organizational Skills: Ability to prioritize tasks and manage multiple accounts simultaneously.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Work Location: Remote