Patient Accounts Specialist

Ashley, Inc.; Havre de Grace (MD); On-site; USD 46,000 - 50,000; Full time

Job summary

Ashley Addiction Treatment Center is seeking a Patient Accounts Specialist to maintain patient financial accounts during treatment, monitor insurance changes, and coordinate with staff to keep everyone informed of account details and authorizations.

The role requires strong communication, accuracy in billing, and experience with health insurance workflows, with a focus on ensuring smooth financial operations for patients and the organization.

Qualifications

• Minimum high school diploma and 2 years in an office setting.
• 1-2 years of health insurance experience, including revenue cycle basics.
• Typing and computer skills with MS Office (Outlook, Word, Excel).
• Excellent telephone and communication skills; ability to de-escalate.
• Good arithmetic skills and basic financial reporting understanding.

Responsibilities

• Prepare patients' financial chart for billing/accounts receivable.
• Enter charges and adjustments; verify paperwork and guarantor.
• Discuss insurance coverage with patients and updates with staff.
• Handle patient paperwork including therapy forms and appeals.
• Manage pharmacy charges and coordinate with nursing/medical team.
• Process co-pays, deposits, and daily patient payments.
• Prepare monthly reports and alert management to trends.

Skills

Office experience

Health insurance experience

Typing & MS Office

Communication skills

Arithmetic skills

Education

High school diploma

Tools

Microsoft Office

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Patient Accounts Specialist

2 days ago Requisition ID: 1746

Salary Range: $22.00 To $24.00 Hourly

THE ORGANIZATION

Ashley Addiction Treatment Center was founded in 1983 by two visionaries who knew the treatment of drug or addiction could be designed and effectively delivered in a holistic manner that compassionately considers the whole person and not just the disease. Innovative then, and innovative now, Ashley passionately continues its core mission “To transform and save human lives by integrating the science of medicine, the art of therapy, and the compassion of spirituality.” Organizationally strong, the organization rigorously adheres to its guiding principles, ethics, and a culture of excellence.

POSITION SUMMARY

Maintains patient financial accounts during the course of a patient’s treatment at Ashley. Monitors account activity and notify patients of insurance coverage changes. Consistently communicates with patients and fellow Ashley staff to ensure all parties are well informed of account details and insurance authorizations.

KEY RESPONSIBILITIES

• Prepares patients financial chart for the billing/accounts receivable department. Enters charges and adjustments when necessary.
• Ensures that new patient paperwork and financial consents are prepared and signed by the necessary parties. Confirms the financial guarantor is clearly defined.
• Meets with patients in a timely manner to discuss account details and insurance coverage changes. Maintains contact with guarantors during the course of treatment regarding managed care review status and finances.
• Completes patient paperwork, including physical therapy forms and insurance appeal forms.
• Monitors, reviews and communicates with patients regarding prescription billing and medication fees, acting as a liaison between the patient and contracted pharmacy. Collects pharmacy charges at time of discharge.
• Discusses Vivitrol insurance coverage and completes necessary order forms. Coordinates orders with Nursing and Medical team; confirms Vivitrol shipments. Manages the Vivitrol Source Guide.
• Calculates accurate co-pay and direct pay account balance information. Informs patients and guarantors of balance information and collects payments prior to patient discharge.
• Prepares and batches daily deposit of patient payments.
• Provides counseling staff with patient financial information. Identifies and documents financial concerns early in treatment.
• Communicates with Utilization Review Department and counseling staff to maintain database of utilization review chart and discharge calendar.
• Prepares and maintains monthly reports, notifying management of unfavorable trends.

In addition to role responsibilities, each staff member of Ashley, Inc. has the following responsibilities as a part of their employment:

• Models and reinforces Ashley’s mission and core values
• Performs other duties on an as-needed basis
• Reinforces Ashley’s commitment to diversity, equity and inclusion
• Protects the privacy of our patient’s protected health information by maintaining compliance with HIPAA and other relevant Ashley related IT security regulations

DESIRED KNOWLEDGE/SKILLS/ABILITIES:

• Minimum High school and at least 2 years working in an office setting required.
• Minimum 1-2 years of health insurance experience, including fundamental understanding of patient revenue cycle required.
• Typing and computer skills with knowledge of Microsoft Office to include Outlook, Word and Excel required.
• Excellent telephone and communication skills with the ability to de-escalate crisis situations.
• Good arithmetic skills with basic understanding of standard financial reporting.

Ashley is committedto maintaining a work environment in which all of its employees are treatedfairly with respect and dignity. Ashely prohibits discrimination and harassmentbased upon an individual’s race, color, religion, national origin, age, maritalstatus, military/veteran status, sexual orientation, gender identity orexpression, pregnancy, genetic information, disability, or any othercharacteristic protected by applicable law.