Pay Grade: 35
Range:$15.00 - $18.00/ hourly
JOB SUMMARY/ESSENTIAL JOB FUNCTIONS: The Patient Accounts Specialist provides appointment coordination and internal medical billing support to the University Dental Practice. This position performs internal billing of private medical insurance, including Medicare, filed on the procedures.
DUTIES AND RESPONSIBILITIES:
- Verifies patient benefits eligibility and insurance coverage, file claims with providers, and ensures claims are accurately filed according to the provider's timeline.
- Collects and enters patient demographic information, as well as all insurance information into patient management software.
- Submits insurance claims and follows-up with insurance carriers on unpaid or rejected claims.
- Prepares letters and files appeal to insurance regarding claim denial. Collects necessary information to accompany appeal.
- Runs daily, weekly, and monthly reports on services rendered and fees collected for Clinic Director.
- Answers patient questions on patient responsible portions, co-pays, deductibles, and write-offs. Resolves patient complaints.
- Prepares patient statements for charges not covered by insurance and mails statement on a regular basis.
- Establishes payment plans for past due accounts in accordance with clinic policies.
- Posts insurance and patient payments, communicates collections to College of Dentistry (COD) billing department, and deposits all monies within the COD business office.
- Attempts to collect delinquent accounts by notifying patients by mail or phone call.
- Provides administrative support such as answering phones and scheduling and maintaining digital patient appointment book.
- Performs other related duties as assigned.
EDUCATION: High School diploma or GED (TRANSCRIPT REQUIRED)
EXPERIENCE: Three (3) years of experience in a medical or dental office with responsibility for scheduling and patient accounts management, which one (1) year involved preparing medical or dental insurance claims submitted for payment. (Knowledge of AxiUm or electronic patient record management systems is preferred. Experience reading and comprehending third party pay contracts is also preferred).
KNOWLEDGE, SKILLS, AND ABILITIES:
- Knowledge of procedure codes and patient billing.
- Knowledge of state and federal insurance regulations and patient privacy laws.
- Proficient in analyzing and solving problems.
- Ability to work independently and as part of a team.
- Ability to understand and maintain privacy and confidentiality.
- Basic knowledge of the computer and other office equipment.
- Excellent interpersonal, verbal, and written communication skills.
An official transcript or documentation to verify education must be submitted in a sealed envelope to the Human Resources Department prior to first day of employment if selected for a position.