Biller/Collector

Job Title: Patient Account Specialist

Department: Business Office/Finance

Reports To: Business Office Manager

FLSA: Non-Exempt

Position Summary

Responsible for collecting, posting and managing patient account payments.

Essential Duties and Responsibilities

• Verifies insurance benefits and changes in benefits both in and out of network

• Ensures accuracy of all accounts, charges, payments and adjustments

• Prepares and submits clean claims to various insurance companies either electronically or by paper

• Prepares adjustment and refund requests and submits to Business Office Manager for approval

• Enters notes in billing and collection software for all activity on patient accounts including benefit verification, billing, payments, adjustments and refunds

• Works with Utilization Review on patient accounts to ensure proper collection on all certified days and notifies UR of any patient certification problems.

• Answers questions from patients, clerical staff and insurance companies

• Identifies and resolves patient billing complaints

• Prepares, reviews and sends patient statements

• Evaluates patient’s financial status and establishes budget payment plans. Follows up on and reports status of delinquent accounts

• Reviews accounts for possible assignment and makes recommendations to the Business Office Manager

• Prepares information for bad debt approval

• Performs various collection actions including contacting patients and insurance companies by phone, correcting and resubmitting claims to third party payers

• Works a minimum of 30 accounts per day

• Processes payments from insurance companies and prepares a daily deposit

• Performs other duties as assigned

Knowledge, Skills and Abilities

• Ability to inspire client confidence in the Talbott Recovery Staff and the Talbott Recovery Model of Treatment.

• Ability to consistently demonstrate through conduct and communications the stability required to effectively assist patients and their family members through the Talbott Recovery Model of Treatment.

• Must have high level of interpersonal skills. Position continually requires demonstrated poise, professionalism, tact and diplomacy.

• Excellent verbal and written communication skills required.

• Ability to pay continual attention to detail.

• Excellent organizational skills with the ability to prioritize workload and meet deadlines.

• Exercise good judgment, apply common sense and successfully handle ambiguity.

• Exceptional analytical and problem solving skills.

• Understands need for and maintains appropriate confidentiality at all times when interacting with patients, residents, families, visitors, referral sources and all other contacts.

• Must have strong knowledge of a variety of computer software applications in word processing and spreadsheets (MS Word, Excel)

Education and Experience

• High School Degree or GED required.

• Minimum of 2 years of experience required in insurance verification and/or insurance billing

Work Environment and Physical Demands

• Sits, stands, walks, and moves intermittently during work hours.

• Must be able to lift, push, pull and/or move up to 60 pounds.

• Must be able to move from building to building in possible extreme weather conditions.

• Ability to be physically mobile, climb stairs, traverse the campus on uneven, hilly terrain.

• Position requires some work on the computer requiring manual dexterity and visual acuity.

• Must be willing to work a flexible schedule.

• A current, valid driver’s license and a clean driving record is required for use of company vehicles and occasional business travel.

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