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Associated Urological Specialists

Patient Accounts Specialist

Associated Urological Specialists, Chicago, Illinois, United States, 60290


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This position is currently located in Alsip, IL and will be relocating to Westchester, IL early in 2024.General Summary of Duties:The Patient Accounts Specialist is responsible for all steps in resolving patient account balances. This process includes explanation of patient statements, benefits paid by insurance, services provided, and setting up payment plans.Special Characteristics:This position requires a comprehensive understanding of accounts receivable management in a healthcare setting. A strong working knowledge of managed care plans, insurance carriers, referrals, and precertification procedures is essential. Strong customer service, organizational, and communication skills are required. Additionally, strict adherence to write-off/adjustment policies, refund policies, and other accounts receivable policies as outlined in the department procedure manual is necessary. This position requires the ability to prioritize multiple tasks simultaneously in an occasionally stressful environment. Skills in problem-solving patient issues to ensure payment are also required, along with mid-level computer skills, typing skills, and a working knowledge of Medicare compliance and HIPAA guidelines.Essential Functions:Provide support services both on the telephone and in office as applicable for patients and authorized representatives regarding patient accounts. Calls regarding account inquiries should be returned no later than the next business day.Follow up on all outstanding self-pay balances; claims begin immediately upon the patient receiving a statement, not to exceed 30 days from the date of billing following established guidelines.Follow up on all correspondence regarding patient inquiries and denials.Recommend accounts for adjustments following department guidelines.Answer inquiries from client staff regarding billing issues.Process patient credit card payments over the telephone and electronic check processing.Participate in educational seminars.Set up payment/budget plans with patients.Proficiency with facets of the PM (Practice Management) system including patient registration, charge entry, insurance processing, advanced collections, reports, and ledger inquiry.Maintain information regarding coding, insurance carriers, managed care networks, and credentialing in an organized, easy-to-reference format.Maintain an organized, efficient, and professional work environment.Adhere to all policies related to HIPAA and Medicare compliance.Maintain strictest confidentiality.Other duties as assigned.Education:High school graduation and prior experience working in a medical billing office. A minimum of 3 years accounts receivable experience is required, preferably in one of the medical specialties of our current clients.

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