Patient Account Specialist

at  GoHealth Urgent Care

JOB SUMMARY

The Patient Account Specialist reports to the Team Leaders or Section Leaders. The Patient Account Specialist is responsible for executing all duties for the Patient Statement Process which includes taking all inbound phone calls, researching patient issues, collecting from the patients, transitioning past due patient accounts to outside collections, responding to all patient inquiries via fax/email/calls, processing financial assistance and processing all correspondence.

EDUCATION

• High School Diploma or GED required
• Associate’s degree in business administration or related field preferred

WORK EXPERIENCE

• 1-2 years of Customer Service experience- required
• 2 years Medical Billing experience preferred
• Medical insurance billing and claims processing preferred

Required Licenses/Certifications

• CPAR – Certified Patient Account Representative preferred

ADDITIONAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

• Hands on knowledge of CPT and ICD codes
• Excellent phone, communication, organizational skills, computer skills and mathematical skills
• Ability to maintain patient confidentiality

ADDITIONAL KNOWLEDGE, SKILLS, AND ABILITIES PREFERRED

• Epic or eClinicalWorks experience
• Experience with Microsoft Excel and Word
• Bilingual Preferred

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

Customer service skills:

• Ability to represent the Department in a professional manner when interacting with patients, guests,

physicians and their staff

• Ability to handle service issues professionally
• Ability to follow through with customers

Communication Skills:

• Ability to communicate effectively to patients about their medical conditions and the financial aspects of their care.

Keyboard skills:

• Ability to type proficiently

Teamwork:

• Ability to function effectively as extension of the Center
• Be flexible and open-minded in thought processes
• Maintain focus under pressure
• Share relevant information with other employees
• Volunteer to assist others when time permits

Medical Terminology & Insurance

• Ability to understand basic medical terminology
• Ability to calculate deductible and co-insurance correctly
• Ability to read and understand carrier Explanation of Benefits

All other duties as assigned.
Note: this job description is not inclusive of all the duties of the position. You may be asked by leaders to perform other duties. Management reserves the right to revise this position description at any time.
All qualified persons are granted an equal opportunity for employment without regard to race, color, religion, sex, sexual orientation and gender identity or expression, age, national origin, citizenship status, disability, genetic information, medical condition, family care leave status, pregnancy or pregnancy-related condition, otherwise qualified disabled or veteran status. The company will comply with all fair employment laws in each of the jurisdictions where we conduct business.
For applicants in California, please review our California Consumer Privacy Statement here.

Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job.

• Maintain Daily communication with Team Leaders/Section Leaders
• Maintain a high-level customer service approach to working with Accounts Receivable Specialists, payors and centers
• Establish and maintain a high-level customer service approach to working with all patients
• PAS will work each call to its conclusion including but not limited to working with other teams to research, review and respond to the patient’s needs and provide follow up within 24-hour period.
• PAS will be responsible for assigned reports that will be completed in the allotted timeframe. This will include but not limited to Bankruptcies, Death notifications, Agency Referral, Hold Reports, Cancellation reports, Payment Plan reports, statement requests, address mail changes and any other report that will need to be worked to complete patient record.
• PAS will be responsible for collecting unpaid balances
• PAS will be responsible for processing credit card payments.
• PAS are responsible for updating patient demographic information from returned mail and address

correction reports