Position Title: Patient Account Specialist
Supervisor: Revenue and Risk Director
Department: Compass Community Health
Work Location: 11th Street Clinic
Supervises: Not Applicable
Date Effective: 2/2023
JOB SUMMARY:
The Patient Accounts Specialist is responsible for all aspects of patient accounts within the billing department.
ESSENTIAL FUNCTIONS:
Essential functions are duties, which are essential or primary to the position or the reason the position exists. An individual must be able to perform the essential functions of the position with or without reasonable accommodation.
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Able to review and produce patient statements and address patient account concerns.
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Coordinate patient payment requests, set up budget plans, and assist with Sliding Fee Discount Program.
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Maintain the Billing Communication accounts and complete follow ups.
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Provide Outreach and Enrollment as a Certified Assistor.
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Provide enrollment assistance by completing coverage applications, gathering required documents, and troubleshooting the enrollment process.
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Follow up with individuals regarding their health insurance enrollment process.
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Track data to ensure goals are achieved and community members are satisfied.
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Collaborate with community organizations to help build coverage option awareness.
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Assist with Prior Authorizations, insurance verifications, and eligibility checks.
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Able to complete billing processes as assigned, including but not limited to claim creation, billing of encounter, claim submission and corrections, posting payments and managing rejections/denials.
SECONDARY FUNCTIONS:
Secondary functions are duties, which are not exclusive of the position, can be performed by other positions; however, secondary duties are to be performed for the efficiency of Compass Community Health.
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Assists administrative staff in Performance Improvement activities for Compass Community Health as needed.
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Assists administrative staff in the provision of data as needed for reporting and/or grant purposes.
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Performs any other duties as assigned by the Revenue and Risk Director.
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Participates in Patient Centered Medical Home team meetings and quality improvement activities.
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Establish and maintain effective working relationships with diverse individuals including patients, family members, and other providers.
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Participates in data collection, review of respective outcomes reporting, as well as programmatic clinical audits and evaluation related to Patient Centered Medical Home initiatives and other quality programs as appropriate.
COMPETENCIES:
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Knowledge/skill regarding office practices, procedures, and efficient operation of office machinery.
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Ability in the area of effective communication and interpersonal skills with public and co-workers
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Demonstrates appropriate understanding of working with confidential material and situations
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Ability to understand and assimilate new information quickly
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Ability to accurately complete reports, gather statistics, transfer data
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Knowledge of various funding sources and what is required for billing
MINIMUM QUALIFICATIONS, INCLUDING TRAINING, AND EXPERIENCE:
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High School diploma or equivalent required.
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Associates Degree in Healthcare or business field preferred.
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Prior experience of billing procedures related to client accounts and Management Information Systems experience preferred.
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2 years of healthcare/social service experience preferred.
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Knowledge of FQHC billing is preferred.
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Completion of Assistor Certification within 30 days of hire.