Medical, Clinical & VeterinaryClinical Support & Patient Administration
About the job
Requirements
A high school diploma or equivalent is required.
Proficiency in electronic medical record/electronic health record platforms, revenue cycle workflows, and benefit verification processes is required.
The position requires problem-solving capability and communication tailored to varied family needs.
Responsibilities
Act as the main point of contact for family communications regarding accounts, insurance changes, prior authorizations, and payment inquiries.
Explain financial arrangements, payment plan options, and therapy cost breakdowns to families.
Collaborate with insurance providers to resolve claim differences, track coverage changes, and advise families on benefit updates.
Monitor patient accounts receivable and proactively contact families with past-due balances to establish payment solutions and support timely account resolution.
Update service agreements upon annual plan renewal or coverage changes while maintaining compliance with organizational financial policies.
Maintain target accounts-receivable aging benchmarks and resolve past-due family account inquiries within designated timelines.
Ensure accuracy in updating service agreements, benefit verification updates, and fee schedule disclosures while adhering to organizational financial and privacy standards.
Communicate empathetically with families to support financial transparency and minimize billing escalations.
Desired Qualifications
An associate or bachelor's degree is preferred.
Two or more years of experience in healthcare billing, patient accounts, prior authorizations, or patient advocacy is preferred.
Job Description
As a Patient Accounts Specialist, you work directly with existing client families to oversee patient financial accounts, maintain accurate billing status, and resolve complex insurance or payment inquiries. Acting as a dedicated patient advocate, you balance empathetic family-facing communication with back-office coordination across billing, prior authorizations, and revenue cycle operations to ensure seamless financial management for therapy services. This position serves as a primary link between client families, clinical teams, and third-party payers to facilitate transparent pricing and consistent account reconciliation.
Patient Communication & Advocacy: Act as the main point of contact for family communications regarding accounts, insurance changes, prior authorizations, and payment inquiries.
Financial Guidance & Transparency: Explain complex financial arrangements, payment plan options, and therapy cost breakdowns clearly to families to maintain clear financial expectations.
Insurance Coordination & Benefit Resolution: Collaborate with insurance providers to resolve claim differences, track coverage changes, and advise families on benefit updates.
Accounts Receivable & Payment Solutions: Monitor patient AR, proactively reaching out to families with past-due balances to establish workable payment solutions and support timely account resolution.
Service Agreement & Compliance Management: Update service agreements upon annual plan renewal or coverage changes while maintaining full compliance with organizational financial policies.
Accounts Receivable & Resolution Timeliness: Maintain target AR aging benchmarks and resolve past-due family account inquiries within designated organizational timelines.
Accuracy & Compliance: Ensure 100% accuracy in updating service agreements, benefit verification updates, and fee schedule disclosures while strictly adhering to organizational financial and privacy standards.
Family Satisfaction & Advocacy: Deliver high-quality, empathetic communication, resulting in clear family financial transparency and minimal billing escalations
Qualifications
Education: High School Diploma or equivalent required; Associate or Bachelor's degree preferred.
Experience: 2+ years of experience in healthcare billing, patient accounts, prior authorizations, or patient advocacy (preferred).
Skills: Proficiency in EMR/EHR platforms, revenue cycle workflows, and benefit verification processes; strong problem-solving capability and tailored communication skills for varied family needs.