Patient Account Specialist

Responsibilities

• Conduct outbound calls to patients on outstanding balances
• Review, analyze, and reconcile patient accounts, including copays, deductibles, and insurance balances
• Provide clear explanations of financial responsibility and generate accurate estimates when applicable
• Perform collection activities in accordance with RCA policies and regulatory guidelines
• Address patient inquiries, complaints, and disputes with professionalism and resolution-focused communication
• Identify discrepancies and coordinate resolution with internal teams (billing, coding, front office, etc.)
• Document all account activity thoroughly and maintain accurate, compliant records
• Escalate complex or unresolved issues to the PAS
• Lead as appropriate
• Meet or exceed assigned productivity and quality performance metrics (KPIs)
• Offer and explain payment arrangements and financial assistance programs (MAP Program, Hardship, etc.)

Qualifications

• Knowledge of healthcare billing, insurance processes, and revenue cycle operations
• Strong communication and customer service skills with a patient-centered approach
• High attention to detail with strong analytical and problem-solving abilities
• Ability to manage multiple priorities in a fast-paced environment
• Proficiency with EMR and billing systems preferred
• Effective conflict resolution and critical thinking skills
• Strong organizational and time management abilities
• Commitment to confidentiality, compliance, and accuracy in financial documentation