Account Review Specialist - Customer Service
United States of America
Full Time
1 week ago
No H1B
Key skills
Medical billingMedical collectionsThird party payersDenials managementCPAR certificationMedical terminologyHIPAA standardsMicrosoft WordMicrosoft ExcelMicrosoft OutlookMicrosoft PowerPointCommunicationTime Management
About this role
Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services. The Account Review Specialist is responsible for account resolution, data updates, and ensuring accurate patient balances while assisting patients with inquiries.
Responsibilities:
- Use and maintain knowledge of multiple computer systems and payer portals/web-based applications or systems on a daily basis
- Responsible for full account resolution, including the review/audit of all activity
- Update data in appropriate systems and filing for insurance
- Provide financial assistance information and ensure proper and timely account adjustments
- Review and confirm accurate patient responsible balances
- Provide assistance to patients and patient's family phone calls and walk-ins
- Review to ensure appropriate payment posting and identification of overpayments/refunds due
- Enter any account notations
- May have additional duties assigned that are within scope of the role
Requirements:
- High school diploma or equivalent
- Excellent written and verbal communication skills
- Strong planning, organizational and decision-making skills
- Must be able to work independently and multi-task
- Strong analytical and lateral thinking skills
- Must be able to communicate and negotiate with a variety of internal and external constituencies
- Working knowledge of MS Word, Excel, Outlook and PowerPoint
- Knowledge of medical terminology and experience with third party payers
- Ability to maintain professional and customer centric composure in difficult or challenging situations while maintaining confidentiality
- Knowledge of HIPAA standards and regulations
- Organizational and time management skills
- Ability to provide positive customer service experience to guests, visitors and patients
- Ability to prioritize workload to achieve maximum efficiency
- Minimum 2 years medical billing/collection or related experience
- Previous experience working in healthcare with knowledge of third party payers and denials
- CPAR certification