Patient Accounts Specialist - Dental

The Patient Accounts Specialist researches patient and staff questions about accounts and makes appropriate adjustments. Reconciles and resolves open accounts. In addition, audits and posts charges and payments to patient accounts.

Knowledge, Skills & Abilities
• Reads, speaks, understands and writes proficiently in English.
• Independent and self-directed.
• Works effectively in a team environment.
• Problem-solves with creativity and ingenuity.
• Organizes, prioritizes, and coordinates multiple activities and tasks.
• Works with initiative, energy and effectiveness in a fast-paced environment.
• Produces work in high quantity and quality.
• Remains calm and effective in high pressure and emergency situations.
• Use of multi-line telephones and other office machines.
• 10-Key: 150 kpm with a 97% accuracy rate.
• Knowledge of dental terminology.
• Proficiency in the use of Microsoft Office applications; Word, Excel and Outlook.

Preferred:
• Knowledge of medical terminology.
• Bilingual skills.

Education
• High school graduate or equivalent.

Preferred:
• Graduate of an accredited Medical Billing Certificate program.

Experience
• Customer service related experience working with the general public (1 year).
• Data entry experience (1 year).
• CDT-5 coding experience (1 year).
• Working with insurance/billing in a healthcare setting.
• Healthcare information systems, such as electronic health record and practice management systems experience (1 year).
• Working with private and/or government third party reimbursement.

Preferred:
• ICD-10 coding experience.
• CPT-4 coding experience.
• Working with low income, multi-ethnic populations.

Credentials Preferred:
• Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) or Coding Specialist (CCS) certified by the American Health Information Management Association (AHIMA).

Job Specific Functions/Performance Expectations:
1. Verifies insurance coverage and submits claims to insurance companies.
2. Bills primary and secondary insurances.
3. Verifies proper CDT and diagnosis coding is entered in the practice management system based on the level of service provided and documented in the electronic health record by provider.
4. Assists patients in setting up payment plans and completes payment plan contracts.
5. Posts daily charges submitted from electronic health record and audit their accuracy.
6. Processes daily reports to clinics of electronic charge entry corrections and tracks their return.
7. Adheres to quality and quantity standards of the department, which includes but is not limited to a minimum of 97% accuracy on quality of work and the ability to review, code, and bill 40 claims per hour.
8. Be a resource for all staff on all aspects of insurance programs, discount applications, provider coding, payment plans and patient payment processing.
9. Performs A/R resolution.
10. Processes fee discount adjustments and enters tracking data into discount fee database.
11. Assists patients in completing applications and qualifying for fee discount program.
12. Scans various documents, including but not limited to statement verifications, collections and invoices.
13. Researches patient questions regarding accounts/statements and initiates appropriate adjustments and/or resubmission of claim(s).
14. Researches and reconciles patient credit balances and initiates refund requests.
15. Adheres to the department’s standards of personal phone use.
16. Adheres to attendance standards in order to perform the job functions for daily operations and/or continuity of patient care.

We offer competitive salary and a comprehensive benefits package designed to address health, time off, retirement and career-advancement needs.  We also offer an additional $0.75/hour for those who test proficiently in a second language.

To learn more and to apply for this position, please visit our website www.CHCsno.org to complete an online application and/or submit your resume for consideration.

Join a team that loves what they do and cares about those they serve.

AA/EEO Employer