Patient Billing & Reimbursement Specialist

SCR St. Claire Medical Center, Inc.; United States; Remote; USD 32,000 - 48,000; Full time

Job summary

SCR St. Claire Medical Center, Inc. seeks a skilled patient account professional to manage moderate-complexity billing, follow-up, and denials resolution within our Home Health department in Morehead, Kentucky.

The role focuses on ensuring accurate charge and payment data, collaborating with coding and payer partners, and maintaining HIPAA compliance, with 2-3 years of relevant experience. This full-time position provides opportunities to improve financial outcomes in a supportive healthcare

Qualifications

• 2-3 years of experience in patient account activities, paid and in related field.
• High school diploma or equivalent.
• Experience with billing, follow-up, collections, and denials resolution is preferred.

Responsibilities

• Provides expertise in billing, follow-up, collections, and/or denials resolution.
• Performs timely follow-up on outstanding claims and appeals to meet aging and recovery targets.
• Reviews charge, payment, and adjustment activity to identify variances and initiate corrective action.
• Reconciles patient balances and payer remittances to ensure accurate application of payments and adjustments.
• Communicates professionally with stakeholders regarding estimates, statements, and complex balance questions.
• Collaborates with coding, authorization, and utilization review teams to resolve documentation and coverage gaps.
• Maintains compliance with HIPAA, FDCPA, and payer contract provisions in all actions.
• Performs other duties as assigned.

Skills

Billing

Follow-up

Collections

Denials resolution

Education

High school diploma

Job description

SCR St. Claire Medical Center, Inc. seeks a skilled patient account professional to manage moderate-complexity billing, follow-up, and denials resolution within our Home Health department in Morehead, Kentucky.

The role focuses on ensuring accurate charge and payment data, collaborating with coding and payer partners, and maintaining HIPAA compliance, with 2-3 years of relevant experience. This full-time position provides opportunities to improve financial outcomes in a supportive healthcare