Patient Accounting Specialist - Physician Billing

accurately processing healthcare claims according to payer compliance regulations ensuring timely claim submission and reimbursement from various third-party payers and or patients ensuring proper account documentation in the facility's billing system pursuing follow-up efforts on aged accounts responsible for importing and processing of payment files, claim processing, collection of insurance or patient balances, physician charge entry maintain and manipulate multiple files or work lists as assigned communicates directly with Payers to follow-up on outstanding claims to resolve payment variances and achieve timely reimbursement provides payers with specific reasons for suspected underpayments and analyzes reasons given by payers for non-payment updates and maintains accurate information on each account with action plan for next steps to resolve effectively handles all communications, including telephone and email from payers and departments within the health system participates in continuous quality improvement efforts on an ongoing basis, establish goals with supervisors and tracking progress understands and maintains compliance with HIPAA guidelines when handling patient information assists hospital and/or physician patients who come to the patient accounting office during business hours Requirements 1 year of insurance, billing and collections or related business environment May consider successful completion of 1100+ related Career Tech program (medical billing/coding or accounting/bookkeeping) in lieu of experience College coursework in related field or Healthcare Certification (CRCR, CRCS, CHAA) preferred Previous experience with medical terminology, basic ICD10 and CPT coding preferred Previous experience using Microsoft Office programs Previous experience in one of the following: billing, insurance resolution follow-up, cash posting, or customer service preferred Must be able to communicate effectively in English (verbal/written) Core Competencies Demonstrates expertise in processing healthcare claims, ensuring compliance with payer regulations, and maintaining accurate account documentation. Proficient in medical terminology, coding practices, and effective communication with payers to resolve payment issues. Highest-signal resume keywords Healthcare Claims Processing Payer Compliance Regulations Medical Terminology ICD10 and CPT Coding Effective Communication Hard Skills Claims Processing Insurance Resolution Follow-Up Cash Posting Account Documentation Payment File Processing Soft Skills Effective Communication Problem Solving Attention to Detail Certifications & Qualifications CRCR CRCS CHAA Industry Keywords Healthcare Billing Patient Accounting HIPAA Compliance Insurance Collections Quality Improvement Tools & Technologies Microsoft Office #J-18808-Ljbffr Jobtailor