Patient Accounting Specialist

Paycom - ATS; Whitpain Township (PA); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

401K with company match

Health, dental, vision insurance

Paid Time Off

Life insurance

Job summary

Malvern Health is seeking a Patient Accounting Specialist to manage patient accounts from admission through post-discharge payment. This full-time role involves coordination with Admissions, Utilization Management, Clinical and senior management, and offers a comprehensive benefits package.

Responsibilities include insurance verifications, accurate daily billing, denial troubleshooting, and eligibility verifications with funding sources. Prior billing experience in behavioral health is preferred.

Qualifications

• Associates degree in business or finance or 2 years AR/billing experience.
• Experience with patient billing, follow up and collections in behavioral healthcare.
• Knowledge of funding sources and government reimbursement protocols.

Responsibilities

• Complete insurance verifications prior to admission and communicate benefits.
• Ensure patient services are billed accurately and follow up on denials.
• Complete eligibility verifications and assist with census reconciliation and cash posting.
• Perform other duties as assigned by leadership.

Skills

Communication skills

Analytical skills

Team collaboration

Billing knowledge

Education

Associates degree in business or finance

Tools

Logic Software

Job description

Job Details:

Job Location: 512 TOWNSHIP LINE ROAD - BLUE BELL, PA 19422, Malvern Health, Inc. is currently seeking a Patient Accounting Specialist to assist in the management of patient accounts at our Behavioral Health and Treatment Centers, from the time of the patient admission to the concluding payment of services after discharge. This position is a full time, benefit eligible position working 40 hours per week.

The Patient Accounting Specialist is a member of the Patient Accounting Office team and works closely with numerous departments including, but not limited to Admissions, Utilization Management, Clinical and the Malvern Health senior Management team.

The Patient Accounting Specialist is also responsible for the following functions:

• Completing insurance verifications prior to admission in order to determine the patient's behavioral health benefits. This information will be communicated with the admissions and utilization management departments; as well as communication with the guarantor during financial counseling.


• Ensuring patient services are billed for accurately each day, follow up with funding sources to ensure timely payment and troubleshoot claim denials and payer issues for resolution.


• Complete eligibility verifications, assist with daily census reconciliation and cash posting.


• Other duties as assigned by the Patient Accounting Director and Assistant Patient Accounting Director

The Patient Accounting Specialist is a benefit eligible opportunity offering a competitive rate and a comprehensive benefit package including mental, dental, vision insurance, life insurance, Paid Time Off, a 401K with a company match and other ancillary insurances and coverages.

Qualifications:

Patient Accounting Specialists must have a minimum of an Associates degree in business or finance, preferably in Accounting or Healthcare Administration, or a minimum of two years experience in accounts receivable or billing department, preferably in a behavioral healthcare setting. Experience with patient billing, follow up and collections in behavioral healthcare field.

In depth knowledge of funding sources and government reimbursement protocols.

Experience with Logic Software with concentration on billing matrix and business intelligence is preferred.

Strong communication skills; both verbal and written as well as analytical skills. Must be a positive team member, working effectively with other departments.

Basic understanding of medical terminology, insurance terminology and billing standards is highly preferred.

Background in credentialing with insurance companies is preferred.

Malvern Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.