Patient Account Specialist

Overview

 Position Summary                

The Patient Account Specialist review and completes charity applications for state and local funding. Assist patients and physician’s office with billing questions in a cheerful approach. Review accounts and provide needed information as requested by the Central Business Office for proper reimbursement. Assist the Patient Access Director in the daily operations at the facility level. Approaches all other duties as assigned with a positive and team sprit. The position will also be expected to support all organizational expectations including, but not limited to Customer Service, Patient’s Rights, Confidentiality of Information, Environment of Care and AHMC initiatives.

Responsibilities

Essential Job Functions

Chart Review:Monitors the aged account reports to insure that all Admitting/Business Office are resolved in a timely manner.Works with HIM and Utilization Review daily to insure that all authorization and coding issues are completed timely.Track, review and follow up all uninsured and underinsured patient accounts.

Educational FeedbackProvides staff with positive feedback to increase registration staff knowledge of reimbursement issues that effect the daily operations of the hospital.

Billing LiaisonAssist patients that present to the facility with billing questions.Review and provide CBO with needed documents to insure prompt reimbursement.Assist the Director of Admitting with special handling projects.

Customer Satisfaction/ Behavior/Attitude & TeamworkStrives to understand, anticipate and meet the needs, expectations and satisfaction levels of "customers".Demonstrates behavior conducive to positive customer relations (ie displays cheerful and positive

attitude)

Accepts coaching and direction; supportive of changes in the working environment and provides constructive feedback.Follows established hospital and department policies.Is willing to perform additional duties when assigned and contributes to the team effort (e.g., assists co-workers when need is observed or upon request, offers constructive suggestions rather than complaints).Participates in group projects and staff meetings with suggestions that enhance the work environment and increase productivityAble to work with diverse populations (staff, patients, physicians); maintains professionalism under difficult and stressful situations. Facilitates team approach; treats co-workers with respect and professionalism

Performance Improvement (PI)Understands hospital PI methodology and is familiar with department PI indicatorsParticipates in hospital & department-specific performance improvement program, including, but not limited to data collection & information sharingBrings errors, inefficiencies and inaccuracies to management's attention with positive suggestions for improvement.Identifies and contributes to the implementation of methods for controlling costs and maximizing efficiency.

Understands and adheres to all policies and procedures, as well as to local, State and Federal regulations, relevant to area of operation.

Maintains acceptable levels of productivity of all assigned accounts.

Maintains confidentiality in regards to internal and external information.

Records and maintains completed and accurate documentation of all activity performed on appropriate medium.

Qualifications

Education/Training/Experience

·        Minimum of five years’ experience in Admitting/ Business Office·        Excellent communication skills·        Excellent customer service skills·        Computer knowledge in a Windows environment·        Detail oriented·        Ability to interpret hospital contracts with insurance companies·        Knowledge of Federal, State and County programs·        Knowledge of Medical Terminology preferred·        Team player·        Excellent communication skills (verbal and written)

Licenses/Certifications   

            None