Patient Account Specialist - Full Time - First Shift

Pine Rest Christian Mental Health Svc; Washington; On-site; USD 23,000 - 30,000; Full time

Benefits offered by this job

Medical, Vision, Dental, and Wellness 

Competitive Front Loaded PTO Packages

403(b) Retirement Savings Plan

Loan Forgiveness/Tuition Reimbursement

Job summary

Pine Rest Christian Mental Health Svc is seeking a Patient Account Specialist in Grand Rapids, MI to support patient accounts, billing, and collections. This role serves patients, payers, and care teams by ensuring accurate account maintenance and timely claim processing.

Responsibilities include verification of demographics, insurance and benefits, resolving denials, processing claims, and ensuring compliance with payer guidelines.

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

Attention to detail

Computer skills

Education

High school diploma or equivalent

Associate degree

Tools

Office software

Job description

Position Details

Cost Center 901 ORS Admin Scheduled Weekly Hours 40 Work Shift First Shift (United States of America) Shift & Status

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

We are seeking a detail-oriented and customer-focused Patient Account Specialist to support patient account management, billing, collections, reimbursement, and administrative functions across clinical services. This role serves as an important resource for patients, insurance payers, and care teams by helping ensure accurate account maintenance, timely claim processing, and exceptional customer service.

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)

Patient Account Specialist 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

Patient Account Specialist 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

Patient Account Specialist 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

Pay and Benefits

The equivalent base pay range for this position is $16.34 - $22.88. Your interview and offer letter will specify whether the role is hourly or salaried. Please note that this range does not include potential shift differentials, incentives, or bonuses, which may be part of the total compensation package. Final base pay will be determined based on location, experience, education, certifications, and FTE status.

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, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other legally protected characteristic. We are committed to fostering a diverse, equitable, and inclusive workplace.

Evidence-Based Hiring

At Pine Rest, we believe in nurturing our employees as holistic beings, understanding their unique strengths and potential to contribute to our team. Our commitment to evidence-based hiring practices ensures an equitable process and that we find the right fit for both our candidates and our organization.

Why Assessments Matter

As part of our comprehensive hiring process, we invite candidates to complete a series of assessments designed to provide valuable insights into their work preferences, personality traits, and cognitive abilities. These assessments are not just a crucial step in our screening process but also an opportunity for candidates to gain a deeper understanding of themselves.

Our Assessments

• Personality Traits: 120 questions, approximately 20 minutes
• Career Interests: 90 questions, approximately 15 minutes
• Thinking Skills: 39 questions, approximately 20 minutes

Benefit to You

We value the time and effort you invest in completing these assessments.

• Personalized JOFI Job Fit Summary: Gain insights into how your strengths align with potential roles at Pine Rest.
• Exclusive Access to CareerNavigation.org: Use this resource to plan and navigate your career development now and in the future.

Committed to Your Success

At Pine Rest, we are committed to creating a supportive and fulfilling work environment. Our evidence-based hiring practices reflect our dedication to finding and nurturing the best talent. Join us and discover how we can grow together!