Patient Account Specialist - Full Time - First Shift

pinerest; Grand Rapids (MI); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Medical, Vision, Dental, and Wellness

403(b) Retirement Savings Plan

Loan Forgiveness/Tuition Reimbursement

Job summary

Pine Rest in Grand Rapids, MI is seeking a Patient Account Specialist to manage patient accounts, verify insurance, and coordinate billing and reimbursements. You will interact with patients, providers, and insurance companies to ensure accurate demographics, payer information, and timely payments.

Responsibilities include resolving claim denials, applying payments, and supporting Medicaid/Medicare reporting.

Qualifications

• High school diploma or equivalent required.
• Associate degree or equivalent knowledge, skills, and abilities preferred.
• Minimum of one year of experience in a related field required.
• Previous healthcare billing, collections, insurance verification, or patient account experience preferred.
• Strong customer service and communication skills.
• Excellent organizational and problem-solving abilities.
• Ability to manage multiple priorities while maintaining attention to detail.
• Proficiency with computer systems and office software applications.
• Ability to work independently and collaboratively in a fast-paced healthcare environment.

Responsibilities

• Maintain patient accounts including demographic verification, guarantor setup, insurance updates, benefit verification, authorization review, and account maintenance.
• Ensure patients are scheduled with participating providers and appropriate payer information is recorded.
• Contact insurance companies to obtain authorizations and resolve claim denials, payment discrepancies, outstanding balances, and other reimbursement issues.
• Process failed claims and ensure claims meet clean claim requirements for timely reimbursement.
• Support Medicaid and Medicare reporting requirements and maintain required patient agreements.
• Apply patient payments accurately and monitor reimbursement compliance with payer contracts.
• Prepare and balance bank deposits.
• Respond to patient inquiries regarding account balances, payment options, and billing concerns.
• Establish payment arrangements within established organizational guidelines.
• Review delinquent accounts and initiate appropriate collection activities or agency referrals.
• Administer and document Patient Assistance Fund (PAF) applications and transactions.
• Maintain knowledge of payer regulations, billing requirements, and reimbursement guidelines.
• Serve as a resource to clinical sites regarding insurance, billing, and reimbursement processes.
• Provide administrative support including patient check-in and check-out, phone triage, appointment coordination, scanning, correspondence, and scheduling support.
• Promote a professional, customer-friendly, and inclusive environment for patients, families, and coworkers.
• Perform other duties as assigned

Skills

Customer service

Communication

Organization

Problem solving

Multitasking

Computer skills

Education

High school diploma or equivalent

Associate degree preferred

Job description

Cost Center: 901 ORS Admin

Scheduled Weekly Hours: 40

Work Shift: First Shift (United States of America)

Who Are We?

We at Pine Rest believe in the power of healing and that everyone in our community has the right to expert care for mental health and substance use disorders. We are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main campus, and our network of clinical sites across Michigan. We are a tight-knit community of healers who witness the impact of our life-changing work each day.

Each day, we are closing the gaps in access to care. We are innovating through leading-edge research, testing, programs, and treatment modalities that others replicate across the country. Our services include a state-of-the-art psychiatric urgent care center and a soon-to-be-built pediatric behavioral health center, outpatient, inpatient, partial hospitalization (day programs), assessment and testing, residential, addiction treatment and specialty services such as crisis response, employee assistance programs, forensic psychiatry and psychology, and neuromodulation. On-the-job educational programs for nurses, psychologists, advanced practice providers, psychiatrists, and chaplains are equipping the next generation of care providers.

We are passionate about serving and are honored to be a part of this incredible work.

Patient Account Specialist

Grand Rapids, MI

Company Benefits

• Medical, Vision, Dental, and Wellness Plans
• Competitive Front Loaded PTO Packages
• 403(b) Retirement Savings Plan
• Loan Forgiveness/Tuition Reimbursement (For Eligible Positions)

Key Responsibilities

• Maintain patient accounts including demographic verification, guarantor setup, insurance updates, benefit verification, authorization review, and account maintenance
• Ensure patients are scheduled with participating providers and appropriate payer information is recorded
• Contact insurance companies to obtain authorizations and resolve claim denials, payment discrepancies, outstanding balances, and other reimbursement issues
• Process failed claims and ensure claims meet clean claim requirements for timely reimbursement
• Support Medicaid and Medicare reporting requirements and maintain required patient agreements
• Apply patient payments accurately and monitor reimbursement compliance with payer contracts
• Prepare and balance bank deposits
• Respond to patient inquiries regarding account balances, payment options, and billing concerns
• Establish payment arrangements within established organizational guidelines
• Review delinquent accounts and initiate appropriate collection activities or agency referrals
• Administer and document Patient Assistance Fund (PAF) applications and transactions
• Maintain knowledge of payer regulations, billing requirements, and reimbursement guidelines
• Serve as a resource to clinical sites regarding insurance, billing, and reimbursement processes
• Provide administrative support including patient check-in and check-out, phone triage, appointment coordination, scanning, correspondence, and scheduling support
• Promote a professional, customer-friendly, and inclusive environment for patients, families, and coworkers
• Perform other duties as assigned

Qualifications

• High school diploma or equivalent required
• Associate degree or equivalent knowledge, skills, and abilities preferred
• Minimum of one year of experience in a related field required
• Previous healthcare billing, collections, insurance verification, or patient account experience preferred
• Strong customer service and communication skills
• Excellent organizational and problem-solving abilities
• Ability to manage multiple priorities while maintaining attention to detail
• Proficiency with computer systems and office software applications
• Ability to work independently and collaboratively in a fast-paced healthcare environment

Additional Details

• Pay based on education and experience
• Non-Exempt (hourly) position
• Office and healthcare support environment
• Frequent interaction with patients, insurance representatives, and clinical staff
• Competitive benefits package

Pre-Employment Requirements

Employment is contingent upon successful completion of a background check, education verification, and drug screen.

Equal Opportunity Employer

Pine Rest is an equal opportunity employer and does not discriminate on the basis of race, color,