Position Summary:

The Patient Accounts Specialist I is responsible for accurately billing patient accounts, ensuring timely submission and reimbursement from various third-party payers and patients, ensuring proper account documentation in the facility’s billing system, and pursuing follow-up efforts on aged accounts.

Responsibilities:

• Determine patient’s ability to pay and seek additional assistance either through optional payment plans or uncompensated care

• Resolves bill holds by correcting issues that prevent a claim from being billed.

• Receives, documents, and responds to all patient correspondence in a prompt and courteous manner.

• Reviews error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission.

• Communicates with payers and/or patients to resolve anticipated issues.

• Answers inquiries received via telephone & other correspondence for patients/guarantors, insurance carriers, and departments as needed.

• Responsible for account follow-up for all assigned accounts.

• Maintains system work queues based on electronic payers' error reports as assigned including but not limited to DNB, Claim Edits, Front End Rejections, and No Response from payers

• Assists Patient Accounts Specialist Rep II/III with ongoing projects and departmental activities as assigned

• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.

• Maintains compliance with all Orlando Health policies and procedures.

Qualifications:

Education/Training

• High School graduate or GED required.

• Must complete Orlando Health staff development within 6 months of hire date

• Basic knowledge of Microsoft applications (Outlook, Word, Excel, PowerPoint)

Licensure/Certification

None.

Experience

Minimum of one (1) year experience in customer service to include a minimum of six (6) months collection/medical office experience.