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About the Role
The Patient Accounts Specialist I is responsible for accurately billing patient accounts, ensuring timely submission and reimbursement from various third-party payers and patients, ensuring proper account documentation in the facility's billing system, and pursuing follow-up efforts on aged accounts.
Responsibilities
- Determine patient’s ability to pay and seek additional assistance either through optional payment plans or uncompensated care
- Resolves bill holds by correcting issues that prevent a claim from being billed.
- Receives, documents, and responds to all patient correspondence in a prompt and courteous manner.
- Reviews error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission.
- Communicates with payers and/or patients to resolve anticipated issues.
- Answers inquiries received via telephone & other correspondence for patients/guarantors, insurance carriers, and departments as needed.
- Responsible for account follow-up for all assigned accounts.
- Maintains system work queues based on electronic payers' error reports as assigned including but not limited to DNB, Claim Edits, Front End Rejections, and No Response from payers
- Assists Patient Accounts Specialist Rep II/III with ongoing projects and departmental activities as assigned
- Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.
- Maintains compliance with all Orlando Health policies and procedures.
- Participates in departmental meetings
- Performs other duties as assigned
Requirements
- Must complete Orlando Health team member development within 6 months of hire date
Skills
- Basic knowledge of Microsoft applications (Outlook, Word, Excel, PowerPoint)
Experience Level
- Minimum of one (1) year experience in revenue cycle.
Education Level
- High School diploma or GED required.