Patient Account Specialist - Clinical Denials
Dayton Children's Hospital · Home Park, OH · 1 mo ago
Full-time
Facility Work from Home - Hybrid - Ohio Department Clinical Denials Schedule Full time Hours 40 Job Details The insurance billing patient account specialist is responsible for all billing and collection activity with insurance carriers. This may include research and contact with patient, guarantor, insurance companies, or other third-party payers. Under the leadership of the Manager, Patient Financial Services, the patient account specialist is responsible for the billing of accounts, review of payment accuracy, account research, and follow-up. Efforts may include financial, clinical, or demographic account corrections. Research also includes coordination with service providers and payers, root analysis of denied payment, and timely follow up on claims. Filters and sorts EPIC work-queues in an effort to provide most effective A/R strategies. Stays current on all payer billing requirements. Maintains a high level of accuracy and assures compliant billing of claims. Is able to track and communicate payer trends to supervisor and manager. Department Specific Job Details Education High school diploma required Experience Minimum of 1 year of experience in patient financial services or healthcare billing Skills/Competencies Strong communication and interpersonal skillsAbility to work tactfully with patients, staff, and interdepartmental customersStrong analytical and problem-solving skillsKnowledge of healthcare billing regulations and compliance requirementsExcellent organizational and time-management skills