The Patient Accounts Specialist supports hospital and physician office billing operations by performing key revenue cycle functions such as charge posting, claims processing, insurance follow-up, denial management, and billing support. This role helps ensure accurate and timely reimbursement in accordance with payer guidelines and contracts.
Key Responsibilities
Perform assigned patient accounts functions including billing, claims processing, insurance follow-up, and denial management.
Collaborate with hospital departments, physician offices, payers, and patients to resolve billing and coverage issues.
Process and maintain account information in Meditech Expanse and other billing systems.
Apply payer billing guidelines, contracts, and coverage criteria to resolve claims.
Identify and report billing or charging errors to support process improvement.
Participate in ongoing training to stay current with payer rules and regulations.