Patient Accounts Specialist
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
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.