Patient Accounts Specialist - Medicaid
Patient Accounts Specialist - Medicaid Interprets and evaluates appeals to include follow-up with payers to assure timely turn around for claims resolution and reimbursement. Must be able interpret explanation of benefits and have a clear understanding of payer methodology. Works in a team environment. Qualifications EDUCATION: High school graduation or equivalent. EXPERIENCE: 1 year experience in patient accounting or related healthcare field, or an equivalent combination of experience and college education in Accounting, Finance or Healthcare Administration. LICENSE/CERT/REG: No special certification, registration or license required. SKILLS: Detailed working knowledge and demonstrated proficiency in at least one specific payers application billing and/or collection process. Requires basic working knowledge of UB04 and Explanation of Benefits (EOB). Requires some knowledge of medical terminology and CPT/IDC-9 coding. Excellent communication, analytical, interpersonal, and organizational skills. Proficient uses of hospital registration and/or billing systems and personal computers as well as Microsoft Excel and Word applications. Ability to type 35 WPM. .