Patient Accounts Specialist

Luminis Health, Inc.; Annapolis (MD); On-site; USD 28,000 - 37,000; Full time

Benefits offered by this job

Medical Insurance

Retirement Plan

Paid Time Off

Tuition Assistance

Employee Referral Bonus

Job summary

Luminis Health, Inc. in Annapolis, MD is seeking a Patient Accounts Specialist to manage third-party payer accounts receivable and appeals.

The role focuses on maximizing cash flow and accurate claims submission within the revenue cycle, while coordinating with patients and departments for timely information. Required background includes a High School Diploma with two years hospital AR experience; an Associate’s degree is preferred.

Qualifications

• High School Diploma required.
• Associate’s degree preferred.
• Minimum two years of experience performing hospital accounts receivable or related work.

Responsibilities

• Ensures maximum cash flow and protects organization from losses by billing and collection along with revenue cycle functions of claims submission.
• Acts as liaison with patients, departments and PFS teammates to obtain information related to claims processing.
• Interacts with regulatory agencies to ensure compliance with billing and reimbursement requirements.
• Maintains current knowledge of regulatory requirements for payer billing and reimbursement.
• Obtains health insurance information and necessary authorizations for services.
• Follows standard work and performs third-party follow up and reporting activities.

Skills

Accounts receivable

Billing

Education

High School Diploma

Associate’s degree preferred

Job description

Position Objective:

Essential Job Duties:

• Ensures maximum cash flow and protects organization from losses by billing and collection along with the revenue cycle functions of claims submission.
• Acts as a liaison with patients, other departments and fellow Patient Financial Services (PFS) teammates to obtain information related to claims processing and payment.
• Interacts with industry-wide peers, state, federal and local regulatory agencies to ensure compliance with billing and reimbursement requirements and statutes.
• Remains current on all regulatory and governmental agency requirements regarding billing & reimbursement for payer requirements and statutes.
• Obtains all health insurance information and appropriate authorizations needed for services as appropriate.
• Communicates with all departments as needed.
• Facilitates resolution of third-party receivables by contacting external departments and payors, as appropriate.
• Follows Standard work daily includingthird-party follow up and reporting activities.
• Other duties. as assigned.

The Patient Accounts Specialist, follows up & performs follow up on all third-party payer accounts receivable and appeals.

Essential Job Duties:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

• Ensures maximum cash flow and protects organization from losses by billing and collection along with the revenue cycle functions of claims submission.
• Acts as a liaison with patients, other departments and fellow Patient Financial Services (PFS) teammates to obtain information related to claims processing and payment.
• Interacts with industry-wide peers, state, federal and local regulatory agencies to ensure compliance with billing and reimbursement requirements and statutes.
• Remains current on all regulatory and governmental agency requirements regarding billing & reimbursement for payer requirements and statutes.
• Obtains all health insurance information and appropriate authorizations needed for services as appropriate.
• Communicates with all departments as needed.
• Facilitates resolution of third-party receivables by contacting external departments and payors, as appropriate.
• Follows Standard work daily includingthird-party follow up and reporting activities.
• Other duties. as assigned.

Educational/Experience Requirements:

• High School Diploma required.
• Associate’s degree preferred.
• Minimum two years of experience performing hospital accounts receivable, or other relevant experience.

Required License/Certifications:

• CRCS or HBI Certification preferred

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.

Physical Demands -

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Luminis Health Benefits Overview:

• Medical, Dental, and Vision Insurance.
• Retirement Plan w/employer contribution.
• Paid Time Off.
• Employee Tuition Assistance Benefits.
• Employee Referral Bonus Program
• Employer Paid Holidays, Disability, and Life/AD&D for full time employees
• Wellness Programs/Employee Assistance Programs and more

Pay Range

$20—$27 USD

Luminis Health Benefits Overview:

• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs and more
• Benefit offerings based on employment status

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