Patient Accounts Specialist

Patient Accounts Specialist

Northwest Orthopaedic Specialists is adding another Patient Accounts Specialist to our growing team. The Patient Accounts Specialist is responsible for supporting the organization's self-pay accounts receivable efforts by managing patient account inquiries, providing timely follow-up on outstanding self-pay balances, and working directly with patients to resolve billing questions and collect payments. Success in this role requires strong customer service skills and the confidence and professionalism to discuss financial responsibilities and payment options with patients. The Patient Accounts Specialist is also responsible for promptly and efficiently responding to requests for cost estimates for minor and major surgical procedures, ensuring accurate collection of patient payments prior to scheduled appointments, and accurately posting and reconciling insurance and patient payments and processing refunds to maintain accurate financial records.

Opportunity for a hybrid-remote schedule after 90 days.

This is not a 100% remote position. Candidates must reside within commuting distance of Spokane, WA.

Essential Functions:

1. Create cost estimates for minor and major surgical procedures based on available insurance plan and benefits information and work with patients and guarantors to secure payment in accordance with department policies and procedures.
2. Accurately posts insurance and patient payments to patient accounts in a timely manner.
3. Identify problem accounts and escalate as appropriate.
4. Create a positive patient experience through listening, ensuring timely resolution and handling patients with a professional attitude.
5. Identify and resolve any overpayments and/or duplicate payments. Process refund requests in accordance with policies and procedures.
6. Review status of delinquent accounts that appear on the monthly aging report and initiate collection action to resolve unpaid balances in accordance with department policies and procedures.
7. Escalate patient complaints to the appropriate individual or department based on the nature of the complaint.
8. Meet and maintain established department performance metrics for quality and production.
9. Maintains strictest confidentiality and adheres to all HIPPA guidelines/regulations.

Knowledge Skills & Abilities:

• Communicates clearly, concisely, and professionally, both verbally and in writing.
• Able to work effectively with other employees, patients and external parties.
• Demonstrates proficiency in Microsoft Office applications, knowledge of modern office equipment and EMR applications.
• Demonstrates knowledge and understanding of organizational policies, procedures and systems.
• Demonstrates ability to organize, perform and track multiple tasks accurately; ability to manage multiple demands in an efficient manner; able to work independently as well as collaboratively as a team player; demonstrates analytical and problem solving skills; and able to perform basic reconciliation and balancing.

Qualifications:

Required:

• High School Graduate or GED
• At least one year of prior medical billing, payment posting, coding, or surgery estimating experience.
• Healthcare information systems, such as electronic health record and practice management systems experience.

Preferred:

• Certified Professional Biller (CPB) certification with AAPC.
• Some payment posting or billing experience.

Benefits:

• Medical, Dental, and Vision Insurance
• Company Paid Basic Life & ADD Insurance
• Company Paid Long Term Disability Insurance
• Voluntary Short Term Disability Insurance
• Voluntary Life & ADD Insurance
• Health Savings Account
• Employee Assistance Program
• Voluntary AFLAC Options
• 401k Employer Match (eligible after 1 year employment)
• 401k Profit Sharing (eligible after 1 year employment)
• PTO
• 7 paid holidays

Wage Range: $18.15 to $31.28

Related: Billing, Collection, Customer Service