Patient Account Specialist- Full Time

daytonchildrens; Kentucky; Hybrid; USD 42,000 - 64,000; Full time

Job summary

Dayton Children's in Ohio is seeking an Insurance Billing Patient Account Specialist to manage billing and collection activity with insurance carriers, researching and contacting patients, guarantors, and payers. The role emphasizes accuracy and adherence to billing rules while working with EPIC queues in a hybrid setting.

Under the Manager, Patient Financial Services, duties include account billing, payment accuracy checks, research, and follow-up.

Qualifications

• High school diploma required.
• Experience in patient financial services or healthcare billing preferred.
• Familiarity with payer billing requirements is a plus.

Responsibilities

• Handle insurance billing and follow-up for patient accounts.
• Research and correct denied claims; ensure accurate payer billing and timely resolution.
• Maintain EPIC work queues and stay current with payer requirements and trends.

Skills

Communication skills

Interpersonal skills

Analytical skills

Time management

Education

High school diploma

Job description

Facility

• Work from Home - Hybrid - Ohio Department:
• Cash Applications Schedule:
• Full time Hours: 40

Job Details

The insurance billing patient account specialist is responsible for all billing and collection activity with insurance carriers. This may include research and contact with patient, guarantor, insurance companies, or other third-party payers.

Under the leadership of the Manager, Patient Financial Services, the patient account specialist is responsible for the billing of accounts, review of payment accuracy, account research, and follow-up. Efforts may include financial, clinical, or demographic account corrections. Research also includes coordination with service providers and payers, root analysis of denied payment, and timely follow up on claims. Filters and sorts EPIC work-queues in an effort to provide most effective A/R strategies. Stays current on all payer billing requirements. Maintains a high level of accuracy and assures compliant billing of claims. Is able to track and communicate payer trends to supervisor and manager.

Department Specific Job Details

Education

• High school diploma required

Experience

• Minimum of 1 year of experience in patient financial services or healthcare billing

Skills/Competencies

• Strong communication and interpersonal skills
• Ability to work tactfully with patients, staff, and interdepartmental customers
• Strong analytical and problem-solving skills
• Knowledge of healthcare billing regulations and compliance requirements
• Excellent organizational and time-management skills