Patient Accounts Specialist
Patient Accounts Specialist
Posted on :
06-04-2025
Employer Active
1 Vacancy
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Job Description
Description
Requires sitting for long periods of time. Requires bending and may need to liftup to 10 pounds occasionally.
Job Summary
Patient Accounts Specialist (PAS) works under the immediate supervision of supervisors/managers in Patient Financial Services (PFS). PAS positions perform complex tasks requiring critical thinking skills and experiencebased (specialist) knowledge in PFS. Reviews difficult work queues large dollar accounts aged accounts and any special projects assigned by leadership. Creates reports/spreadsheets for identification of problem areas and utilizes critical thinking skills to determine appropriate actions to resolve problem. Must demonstrate thorough knowledge and understanding of patient billing billing transmission government regulatory/ compliance requirements and electronic billing systems.
Essential Functions
- Prepares reports of denials credit balances payer opportunities.
- Analyzes rejection reports and errors made by system and teammates. Requests system changes reports error rates by teammate and collaborates with training to ensure improvement is achieved and sustained.
- Prepares Medicare/Medicaid quarterly credit balance reports. Approve refunds as defined in departmental threshold guidelines.
- Assists Supervisor/ Manager with quality checks for all payers and departments.
- Performs quality assurance tasks as needed to validate workflow builds claim edit actions automatic actions in Epic process improvements etc.
- Analyzes denial reasons provided by payers. Collaborates with management to identify trend and address root causes of denials.
- Researches and analyzes payer trends and works on special projects involving aged high dollar or complex account issues.
- Trains new teammates as needed.
Requires sitting for long periods of time. Requires bending and may need to liftup to 10 pounds occasionally.
Education Experience and Certifications
Required Experience:
Unclear Seniority
Employment Type
Full-Time
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