We're Hiring: Patient Account Specialist!
We are seeking a detail-oriented and highly motivated Patient Accounts Specialist – Collections to join our Patient Financial Services team at a leading healthcare system in Baltimore. In this role, you will be responsible for the accurate and timely follow-up of third-party and patient billing accounts. This is a key position ensuring financial accuracy and promoting revenue cycle performance through effective collections, denial resolution, and payer communication.
This role is ideal for professionals with a strong background in hospital collections, excellent analytical skills, and a passion for delivering outstanding patient service.
Location: Baltimore, United States
Role: Patient Account Specialist - Collections
Key Responsibilities:
- Review adjudicated claims to verify timely and appropriate reimbursement.
- Research and resolve unpaid claims; correct and resubmit or reprocess as needed.
- Submit adjustment requests daily in accordance with payer guidelines.
- Verify account balances for accuracy by reviewing charges, payments, and adjustments.
- Review Explanation of Benefits (EOB) documents to resolve underpayments and denials.
- Work directly with insurance carriers to appeal denied claims and pursue underpayments.
- Track and identify denial trends and work proactively to address recurring issues.
- Confirm insurance eligibility and ensure compliance with authorization/referral requirements.
- Prepare and submit appeals and reconsideration requests within payer timelines.
- Collaborate with refund specialists to initiate insurance refund requests as needed.
- Meet established productivity benchmarks and quality expectations.
- Respond professionally to patient inquiries and maintain a high level of customer service.
- Maintain strict confidentiality of all patient and organizational information.
- Work collaboratively across departments to support overall revenue cycle performance.
- Participate in quarterly payer meetings and stay current with payer updates and policies.
Minimum Qualifications:
- High School Diploma or GED required.
- Minimum of 3 years of hospital collections experience required.
- Strong working knowledge of third-party payers, billing practices, and claim adjudication.
- Proven accuracy in data entry and financial calculations.
- Strong analytical, problem-solving, and follow-through skills.
- Ability to work independently and manage a full workload with minimal supervision.
- Proficiency in Microsoft Excel, PC tools, and calculator usage.
- Familiarity with interpreting EOBs and working within hospital billing systems.
- Background check to include Federal, State and Counties. Drug Screening is required
- Current Season Flu vaccine required
Desired Attributes:
- Highly organized and detail oriented.
- Strong interpersonal and communication skills.
- Customer-service oriented with a positive and professional demeanor.
- Team player with a collaborative spirit and willingness to support colleagues.
- Flexible and adaptable in a dynamic, fast-paced healthcare environment.
Ready to make an impact? Apply now and let's grow together!