Job Description
Position Summary:
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:
At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we have grown into a 3,900-bed healthcare organization that delivers care for more than 142,000 inpatient and 3.9 million outpatient visits each year. Our 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices and more than 60 outpatient facilities serve communities that span Florida’s east to west coasts and beyond.
Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you
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
Qualifications: - 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
Education/Training
High School graduate or GED required.
Must complete Orlando Health staff development within 6 months of hire date
None.
Experience
Minimum of one (1) year experience in customer service to include a minimum of six (6) months collection/medical office experience.
High School graduate or GED required.
Must complete Orlando Health staff development within 6 months of hire date
- Basic knowledge of Microsoft applications (Outlook, Word, Excel, PowerPoint)
None.
Experience
Minimum of one (1) year experience in customer service to include a minimum of six (6) months collection/medical office experience.
Preferred insurance verification or medical receptionist experience.