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Patient Accounts Coordinator (PAC) works under the immediate supervision of supervisors/ managers in Patient Financial Services (PFS) performing tasks of moderate to difficult complexity relating to hospital or physician accounts. PAC is responsible for data analysis and interpretation throughout all functions of PFS, analysis of aged accounts including remittances to determine reasons for denials, non-payment and overpayment, post/ balance/ correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/ correction of correct coding guidelines, preparation of accounts for appeal, review/ analysis of insurance credit balances and analysis/ movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles.
Job Responsibility:
Completes claims and documents billing activity according to governmental regulations, agency policies and department guidelines
Reviews trends specific to denials, root cause, and A/R impact
Reviews insurance credit balances to determine root cause, takes necessary action to resolve account
Contacts payer and makes inquiries on account status
Processes and researches electronic remittances and bank deposits
Works with Specialty Payers and other facilities to ensure compliance and payment
Transfers charges between Patient and Facility accounts as required
Escalates problem accounts as needed and leads appeal process
Receives, review and takes actions for all communications within the business office
Requirements:
High school diploma or GED required
One-year experience in related financial services or healthcare business office required
College (bachelor's or associate) degree preferred
Ability to communicate effectively in verbal and written formats
Proficiency in Word, Excel and Outlook preferred
Prior healthcare computer system and specifically Epic billing experience preferred
Nice to have:
College (bachelor's or associate) degree
Proficiency in Word, Excel and Outlook
Prior healthcare computer system and specifically Epic billing experience
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs