Patient Account Specialist- Clinical Denials

Dayton Children's Hospital; United States; Remote; USD 35,000 - 55,000; Full time

Job summary

Join a forward-thinking pediatric healthcare provider as a Patient Account Specialist focusing on clinical denials. This full-time remote role involves managing billing and collection activities for patient accounts, ensuring compliance with payer requirements, and leveraging your customer service skills to enhance patient interactions. You'll play a crucial role in maintaining revenue flow and improving billing practices while working within a supportive team environment. If you have a passion for healthcare and a knack for problem-solving, this opportunity is perfect for you.

Qualifications

• Responsible for billing and collection activities for patient accounts.
• Must stay current on payer billing requirements and ensure compliance.

Responsibilities

• Research and contact patients and insurance companies for billing.
• Oversee aging reports and use automated health information systems.

Skills

Customer Service

Billing and Collection

Account Research

Insurance Knowledge

Communication Skills

Education

High School Diploma or GED

Tools

EPIC

Job description

Patient Account Specialist - Clinical Denials

Pay: Competitive

Location: Remote

Employment Type: Full-Time

Job Description

• Req#: R19208

Facility:

Work From Home - Ohio

Department:

Clinical Denials

Schedule:

Full-time

Hours:

40

Job Details:

Responsible for all billing and collection activity for assigned patient accounts, from initial claim submission to final payment and zero balance. Tasks include research, contacting patients, guarantors, insurance companies, Medicaid/Medicare, and third-party payers. Responsible for billing, payment review, account research, follow-up, corrections, rebilling, coordination with providers and payers, and processing credit balances. Oversees aging reports and uses automated health information systems. Must stay current on payer/Medicare/Medicaid billing requirements and ensure compliant billing practices. Communicates payer trends impacting revenue to supervisor.

Department Specific Job Details:

• Shift: 8am-4:30pm (flexible)

Education:

• High school diploma or GED

Experience:

• Customer service in a call center setting (preferred)
• Clinical denials experience (preferred)
• EPIC experience (a plus)
• Insurance experience

Education Requirements:

GED or High School diploma (Required)

Certification/License Requirements:

None specified

About the company

Dayton Children's Hospital, formerly The Children's Medical Center of Dayton, is a pediatric acute care teaching hospital located in Dayton, Ohio.