Imagine Staffing Technology, An Imagine Company · 9 hours ago
Patient Account Management Specialist
Imagine Staffing Technology is looking for a dedicated and detail-oriented Patient Account Management Specialist to join their client's team. In this role, you will manage patient accounts financially, resolve Coordination of Benefits issues, and provide training to registration staff while supporting billing initiatives.
Responsibilities
Analyze and identify reasons for denial of claims
Review denied claims for accuracy and eligibility
Ensure that claims are coded correctly and in compliance with payer requirements
Develop and submit appeal letters and supporting documentation for denied claims
Track all appeals and follow up to ensure timely resolution
Communicate with insurance companies to resolve discrepancies and prevent future denials
Work with healthcare providers, coding specialists, and billing departments to resolve issues related to denials
Serve as the primary point of contact for other departments and insurance companies regarding claim denials
Generate and review regular reports on denial trends to identify recurring issues
Provide feedback to management on denial patterns and suggest corrective actions to reduce future denials
Ensure all processes are in compliance with industry regulations and payer-specific guidelines
Maintain a comprehensive knowledge of insurance payer policies and procedures
Communicate professionally with patients to inform them of claim denials and necessary actions
Assist in resolving patient billing issues arising from denied claims
Qualification
Required
High School Diploma or Equivalent required
Understanding of insurance policies, healthcare regulations, medical terminology, and coding systems (ICD-10, CPT, etc.)
Ability to identify errors and discrepancies in claim submissions
Strong written and verbal communication skills for effective interaction with insurance companies, healthcare staff, and patients
Ability to assess situations and propose solutions to resolve claim issues
Organized and have a thorough understanding of Microsoft Office and Excel
Preferred
Associates Degree preferred
Three (3) to five (5) years medical billing experience strongly preferred
Company
Imagine Staffing Technology, An Imagine Company
As one of the nation’s largest third-party recruitment firms, Imagine Staffing Technology is dedicated to delivering exceptional staffing solutions to answer the talent demands of our clients.