Patient Account Specialist
Overview: Shenandoah Oncology is looking for a detail-oriented individual with a compassionate and professional attitude to join our Revenue Cycle team!Our Patient Account Specialist is responsible for account follow-up for all assigned accounts, resolving billing problems, and answering patient inquiries. This role also sets up financial arrangements as needed and uses collection techniques to keep accounts receivable current including monitoring for delinquent payments. Responsibilities: Essential duties and responsibilities include (but not limited to):Performs audits of patient accounts to ensure accuracy and timely payment.Reviews account agings on a monthly basis and reports inconsistencies and corrects errors as appropriate.Contacts patients regarding delinquent accounts and arranges mutually acceptable payment schedules.Follows up on insurance billing to ensure timely receipt of payments. Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments. Reviews credit balance reports for correct recipient of refund. Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks.Identifies problems on accounts and follows through to conclusion.Responds to insurance companies requests for information in a prompt and professional manner.Reviews appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to appropriate court in a timely manner.Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts.Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.Resubmits insurance claims within 72 hours of receipt. Participates in maintaining Payor Manuals/Profiles.Works closely with collection agency to assure that they receive updated information on accounts as necessary. Prepares write-off requests with appropriate documentation and submits to supervisor.Processes insurance/patient correspondence, including denial follow-up within 48 hours of receipt. Files all reimbursement correspondence daily.Works with provided aging to monitor patient account agings and follows up appropriately. Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation. Qualifications: High school graduate or equivalent required. Minimum three years experience in a medical business office setting with insurance processing and balancing responsibilities.