Patient Accounting Specialist | Conrad
On-siteConrad, Montana, United States
Job Summary
Process claims for primary, secondary, and tertiary insurance carriers, investigating rejections, denials, and refunds while tracking aging reports. Analyze account data to identify trends and carrier issues, then report findings to leadership. Post payments and adjustments using appropriate fee schedules, validate Explanation of Benefits codes, and manage Medicare and Medicaid denials. Collaborate with patients, providers, and payers to resolve unresolved issues and facilitate timely claim resolution. Maintain strict confidentiality of patient information and document all communications accurately within the billing system.
Required Qualifications
- 1+ year(s) of experience in a business, medical, clinical, or customer service environment
- Proficiency in Electronic Medical Record (EMR) billing systems
- Strong knowledge of medical terminology and health insurance guidelines
- Fluent in English, both spoken and written
- Minimum of one (1) year experience in a hospital or medical office setting preferred
- Proficient with basic accounting and ten-key by touch preferred
- Prior experience with business mathematical tasks and correspondence preferred
- Excellent interpersonal and customer service skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy
- Possess and maintain computer skills to include working knowledge of Word, Outlook, Excel, and ability to learn other software as needed
- Proficiency in Excel preferred
- Possess ability to maintain confidentiality and understand HIPAA guidelines and other applicable federal laws
- Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently
- Commitment to working in a team environment and maintaining confidentiality as needed
- Excellent verbal and written communication skills including the ability to communicate effectively with various audiences
- Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy
- Possess and maintain computer skills to include working knowledge of Microsoft Office Suite and ability to learn other software as needed
- Must be able to lift 50 lbs
- Must be available for weekend shifts
- Valid driver's license
Desired Qualifications
- 2+ years of experience in a business, medical, clinical, or customer service environment
- Experience with specific EMR systems, including Meditech and Cerner
- Ability to work effectively in a fast-paced, dynamic environment with strong time management and organizational skills
- Demonstrated ability to prioritize tasks and complete work with minimal supervision
- Proven ability to build and maintain professional relationships
- Consistent and reliable attendance as scheduled by leadership
- Minimum of one (1) year experience in a hospital or medical office setting preferred
- Proficient with basic accounting and ten-key by touch preferred
- Prior experience with business mathematical tasks and correspondence preferred
- Proficiency in Excel preferred
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.