Patient Account Specialist

Role Description

Join Regional Cancer Care Associates (RCCA) as a Patient Account Specialist! You'll handle account follow-ups, resolve billing issues, and assist with patient inquiries. Your role includes:

• Setting up financial arrangements
• Monitoring accounts for delinquent payments
• Using collection strategies to maintain current receivables
• Adhering to the US Oncology Compliance Program
• Maintaining patient confidentiality

We're seeking someone who is positive, passionate, and skilled at multi-tasking. Be part of a team dedicated to cutting-edge cancer care that always prioritizes patients.

Qualifications

• Accredited High school graduate or equivalent required
• Minimum five years experience in a medical business office setting with insurance processing and balancing responsibilities

Requirements

• Performs audits of patient accounts to ensure accuracy and timely payment
• Reviews account agings on a monthly basis and reports inconsistencies; corrects errors as appropriate
• Contacts patients regarding delinquent accounts and arranges mutually acceptable payment schedules
• Follows up on insurance billing to ensure timely receipt of payments
• Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances
• Receives and resolves patient billing complaints and questions; initiates adjustments as necessary
• Follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments
• Reviews credit balance reports for correct recipient of refund
• Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks
• Identifies problems on accounts and follows through to conclusion
• Responds to insurance companies requests for information in a prompt and professional manner
• Reviews appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to appropriate court in a timely manner
• Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met
• Contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts
• Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor
• Resubmits insurance claims within 72 hours of receipt
• Participates in maintaining Payor Manuals/Profiles
• Works closely with collection agency to assure that they receive updated information on accounts as necessary
• Prepares write-off requests with appropriate documentation and submits to supervisor
• Processes insurance/patient correspondence, including denial follow-up within 48 hours of receipt
• Files all reimbursement correspondence daily
• Works with provided aging to monitor patient account agings and follows up appropriately
• Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation

Benefits

• Health, dental, and vision plans
• Wellness program
• Health savings account - Flexible spending accounts
• 401(k) retirement plan
• Life insurance
• Short-term disability insurance
• Long-term disability insurance
• Employee Assistance Program (EAP)
• Paid Time Off (PTO) and holiday pay
• Tuition discounts with numerous universities

We believe these benefits underscore our commitment to the well-being and professional growth of our employees.