Patient Account Specialist- Full Time

Dayton Children's; Kentucky; Hybrid; USD 42,000 - 54,000; Full time

Job summary

Dayton Children’s is seeking an Insurance Billing Patient Account Specialist to manage billing and collection activities with insurance carriers in a hybrid, work-from-home setting in Ohio. The role involves researching accounts, contacting patients and payers, and following up on denied or underpaid claims under supervision from the Manager, Patient Financial Services.

Qualifications include a high school diploma and at least 1 year in patient financial services or healthcare billing, with

Qualifications

• High school diploma required.
• Minimum of 1 year of experience in patient financial services or healthcare billing.
• 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.

Responsibilities

• Billings and collections with insurance carriers.
• Research and contact with patients/guarantors/payers.
• Follow-up on claims and payment accuracy reviews.
• Account research and potential corrections to improve A/R.
• Stays current on payer billing requirements and regulations.
• Track payer trends and report to supervisor/manager.

Skills

Communication skills

Interpersonal skills

Analytical thinking

Problem solving

Time management

Organizational skills

Healthcare billing knowledge

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
• 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

Our values

• We commit to safety - We ensure every action and decision prioritizes the safety of patients, families, and employees.
• We serve with compassion - We bring generosity, empathy, and kindness to all interactions.
• We own every moment - We take pride in everything we do.
• We’re better together - We collaborate, communicate, and support one another to deliver optimal care.
• We innovate with purpose - We adapt and change to improve pediatric care, for today and tomorrow.
• We value and respect each person - We create an inclusive space where everyone feels welcome and respected.

Dayton Children’s is proud to be an Equal Opportunity Employer that values diversity and will not discriminate against minorities, women, protected veterans, individuals with disabilities, or based on age, color, gender identity, national origin, race, religion, sex, sexual orientation, or transgender status.