PATIENT ACCOUNTS COUNSELOR

Patient Accounts Counselor

The primary responsibility of a Patient Accounts Counselor is to follow up with insurance carriers on aged, unresolved claims. The position requires a comprehensive understanding of the operational aspects of the entire Revenue Cycle as well as the appropriate actions to take in resolving claim issues with payers.

Job Description

• Utilize Worklist(s) across multiple computer systems prioritizing work according to established departmental standards.
• Review accounts with outstanding balances.
• Review claim denials while determining root-cause and identifying potential trends.
• Determine if the expected reimbursement matches our calculation (i.e., Payment Variances).
• Understand individual payer billing guidelines and requirements.
• Communicate with insurance carriers via phone, email, or fax in an effort to expedite payment.
• Place detailed follow-up notes on each account worked.
• Meet or exceed the established daily productivity standard.
• Identify Payment Variance trends and communicate to Leadership.
• Work in an organized way to help the department meet or exceed the monthly collections goal.
• Participate in other Patient Accounts functions like Billing, Credit Balances, and Special Projects as directed.
• All other duties as assigned.

Requirements

• 3-5 years of experience in medical office billing with an emphasis on follow-up.
• Working knowledge of ICD-10 & HCPCS/CPT coding.
• Basic knowledge of third-party insurance plans.
• Familiarity with medical terminology.
• Ability to multi-task and work independently with minimal supervision.
• Strong mathematical skills.
• Basic typing skills with an emphasis on accuracy.
• The ability to communicate effectively in both verbal and written forms.
• Listening and reading comprehension sufficient to learn individually and with small groups.
• A desire to earn and retain important, job-related information.

Location and Schedule

Location: Archbold Medical Center Patient Financial Services

Schedule: Full Time, Day Shift, 8 am - 5 pm