Job Description Summary:

The Patient Accounting Specialist coordinates and facilitates patient medical billing and collection activities in assigned area(s). Assigned areas may consist of, but may not be limited to; billing, payment posting, collections, payer claims research, customer service, accounts receivable, etc.

Qualifications:

• Minimum of one (1) year experience in a hospital or medical office setting preferred.
• Excellent interpersonal and customer service skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
• Possess and maintain computer skills to include working knowledge of Word, Outlook, Excel, and ability to learn other software as needed. Proficiency in Excel preferred. 
• Excellent verbal and written communication skills including the ability to communicate effectively with various audiences required. 
• Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently.
• Possess ability to maintain confidentiality and understand HIPAA guidelines and other applicable federal laws.

Job Duties:

• *Analyzes and interprets account data to facilitate timely claim and payment resolution. Collaborates and/or refers unresolved issues and escalates to appropriate party.    
• *Posts payments and adjustments utilizing the appropriate fee schedule, policy and/or procedures in accordance with patient statements, remittance advices, insurance carriers, electronic downloads, etc.
• *Identifies credits, variances and trends. Performs appropriate action to facilitate resolution in a timely manner.
• *Ensures all communication, both written and verbal, is documented in a professional, accurate, clear and factual manner.
• *Completes account maintenance review to ensure account information is accurate within billing system. 
• *Acts as a Patient Accounting liaison between patients, clients, providers, payers, vendors and other KRH departments.
• *Interprets explanation of benefits (EOB) message codes, validates payer processing and identifies potential payment discrepancies.   
• *Maintains open and professional communication with leadership and staff.
• *Effectively manages assigned work in accordance with team expectations, department productivity and quality standards.
• *Provides exceptional customer service to stakeholders for questions and concerns.
• *Participates in team meetings and activities. Contributes to the philosophy and goals of the team and department while maintaining a positive, open-mind and focus on continuous improvement.
• Other duties as assigned.  This position description in no way states or implies that these are all the only duties required.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position.

*Maintains regular and consistent attendance as scheduled by department leadership.

*Job duties denoted with an asterisk are classified as Essential Job Functions. 

Shift:

Day Shift - 8 Hours (United States of America)

Schedule Details:

Please know schedules and shifts are subject to change based on patient care and department/organizational needs.

Schedule:

Logan Health operates 24 hours per day, seven days per week.  Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

Notice of Pre-Employment Screening Requirements

If you receive a job offer, please note all offers are contingent upon passing a pre-employment screening, which includes:

• Criminal background check

• Reference checks

• Drug Screening

• Health and Immunizations Screening

• Physical Demand Review/Screening

Equal Opportunity Employer

Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability or any other basis protected by applicable law. If you require accommodation to complete the application, testing or interview process, please notify Human Resources.