Patient Accounts Specialist - Advanced Payment Team
Core
Reviews complex patient billing queues, aged accounts, and large-dollar accounts to resolve payment issues and ensure regulatory compliance.
Role type
Specialist Patient Accounts Specialist (Financial Operations)
Builds
Denial reports, credit balance reports, and system error analysis for Medicare/Medicaid and commercial payers.
Domain
Healthcare Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Critical thinking, complex account analysis, regulatory compliance knowledge, report creation, denial root cause analysis, quality assurance validation, team training
Preferred skills
Epic billing system proficiency, Excel/Word/Outlook proficiency, healthcare financial services experience
Responsibilities
Prepares reports of denials and credit balances; analyzes rejection reports and system errors; approves refunds within guidelines; performs quality assurance on workflow builds and claim edits; researches payer trends; trains new teammates
Seniority
Specialist, hands-on IC