Account Review Specialist - Customer Service

The Health Care Authority for Baptist Health, An Affiliate of UAB Health System; United States; Sur place; USD 36 000 - 48 000; Plein temps

Résumé du poste

Baptist Health in Alabama is hiring an Account Review Specialist to manage customer service accounts and coordinate billing activities. You will review accounts, audit activity, and file for insurance, ensuring accurate postings and timely resolutions.

The role requires strong written and verbal communication, familiarity with medical billing, and the ability to work independently while maintaining patient confidentiality under HIPAA. Regular full-time day shift.

Qualifications

• High school diploma or equivalent required.
• Minimum 2 years medical billing/collection or related experience preferred.
• Previous experience working in healthcare with knowledge of third party payers and denials preferred.

Responsabilités

• Review and audit all account activity and perform full account resolution.
• Update data in appropriate systems and file for insurance.
• Review patient balances and ensure accurate payment posting; identify overpayments/refunds.

Connaissances

Medical billing

Patient communications

Denials knowledge

Data entry

HIPAA compliance

MS Office

Formation

High school diploma or equivalent

CPAR certification

Description du poste

Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties. To learn more about Baptist Health, visit us at https://www.baptistfirst.org.

Highlights

The Account Review Specialist shall be responsible to use and maintain knowledge of multiple computer systems and payer portals/web-based applications or systems on a daily basis. This individual will be responsible for full account resolution, including the review/audit of all activity, as well as to update data in appropriate systems and filing for insurance. The Specialist will provide financial assistance information and ensure proper and timely account adjustments.

Additionally, the Specialist will review and confirm accurate patient responsible balances. The Specialist will provide assistance to patients and patient's family phone calls and walk-ins. This individual will also review to ensure appropriate payment posting and identification of overpayments/refunds due, and to enter any account notations. This position may have additional duties assigned that are within scope of the role.

Education / Experience

• High school diploma or equivalent required.
• Minimum 2 years medical billing/collection or related experience preferred.
• Previous experience working in healthcare with knowledge of third party payers and denials preferred.

License / Certification

• CPAR certification preferred.

Knowledge, Skills, and Abilities

• 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.

Job Details

• Primary Location: Corporate Job: Account Review Specialist - Customer Service Accounts Review Specialist
• Job Type: Regular-Full time
• Shift: First Shift (United States of America)

Baptist Health is recognized by Forbes as one of America’s best employers in the state of Alabama.