Position Title: Specialist, Patient Account

Department: Patient Financial Services

Purpose: Responsible for accurate and timely submission of services to responsible parties with the objective to receive accurate payments resolving balance to completion. Post payments and adjustments timely with a high degree of accuracy from multiple sources including paper, electronic, general ledger transactions and transfers from other departments within the Health System. Diligently pursues payment collection through the use of research, phone calls, meetings, written inquiries, websites and other acceptable forms of communication. Maximizes website functionality to review status, request additional information and to research discrepancies. Has working knowledge of requirements for billing and collecting of healthcare services. Must be familiar with medical and billing terminology and understand healthcare regulations as it pertains to the job duties. Identifies trends or problems with reimbursement of accounts and resolves issues when the indicated action is within the scope of employee's role or to escalate when appropriate. Responds to all inquiries in a timely and professional manner in order to meet the expectations of our patients and organization. Willing to assist and facilitate in completion of other duties as assigned.

Report To: Supervisor, Collection Specialists

Supervisory Responsibility: No Supervision: The job does not require the provision of guidance or supervision to others. There is no formal responsibility for directing others.

Materials Responsibility: Very Limited. Work requires very limited responsibility for material resources. Examples of resources could include personal work materials, supplies or equipment, or very small amounts of cash. The employee has a very limited or indirect amount of control over these resources. Although human error might require the repair or replacement of materials, usually the cost of correcting these errors is minor. The variety and volume of resources is also very limited. Problems associated with material resources are very uncomplicated.

Key Relationship: Co-workers/Health System Employees, Outside Agencies/Other Health Care Providers, Governing Boards, General Public/Visitors/Volunteers, Physicians/Medical Office Staff, Students/Interns/Residents/Outside Instructors, Patients, Families, and Significant Others, Vendors/Clients, Third Party Payors/Insurance Companies, Local Governments, News Media, Attorneys

POSITION SPECIFICATION

Education: High school graduation or equivalent

Field Of Study:

Special Training: Interpretation of insurance EOBs, concurrent multiple software systems usage.

Training Preferred: Billing/Accounts Receivable experience (UB04, 1505, 837I, 837P), Medicare and Medicaid compliance; Quality Improvement; CPAT, CHAT

Licensure/Registration:

Experience: More than 1 year experience required.

Interpersonal Skills: Interaction is with a variety of people. These may be fellow employees, customers, the public or others outside the organization. Communications are of limited difficulty. Interactions usually involve short, straightforward exchanges of information. The job requires a limited amount of interpersonal skills. Interactions are non-stressful encounters and dealing with uncomplicated problem situations.

Working Conditions: There are little or no adverse environmental conditions to consider.

Possible Exposure to Blood Borne Pathogens:

Miscellaneous: