Patient Account Specialist

Medical Network of Alaska improves healthcare access, value, and quality by building relationships with healthcare organizations that empower expert administration and support; we share resources and streamline processes to provide more efficient delivery of a more effective standard of care.

Position -Patient Account Specialist

Position Summary

The Patient Account Specialist is responsible for managing patient billing accounts, resolving payment issues, and ensuring accurate financial transactions within the healthcare revenue cycle. This role serves as a key liaison between patients, insurance companies, and internal departments to facilitate proper billing procedures and maintain positive patient relationships while maximizing revenue collection.

Key Responsibilities

Account Management

- Review and analyze patient accounts to identify billing discrepancies, payment issues, and outstanding balances

- Process patient payments, adjustments, and refunds accurately and efficiently

- Maintain detailed documentation of all account activities and patient communications

- Follow up on delinquent accounts through phone calls, letters, and payment plan arrangements

- Research and resolve insurance claim denials, rejections, and payment delays

Patient Relations

- Provide exceptional customer service to patients regarding billing inquiries and payment options

- Explain insurance benefits, coverage limitations, and patient financial responsibilities

- Assist patients in understanding their statements and resolving billing concerns

- Establish payment plans when appropriate

- Handle patient complaints professionally and work toward satisfactory resolutions

Insurance and Claims Processing

- Verify insurance eligibility and benefits prior to services

- Submit and resubmit insurance claims as needed

- Appeal denied claims and provide supporting documentation

- Coordinate with insurance companies to resolve coverage issues

- Process prior authorizations and referrals when required

Administrative Duties

- Generate and distribute patient statements and collection notices

- Prepare daily, weekly, and monthly reports on account status and collection activities

- Maintain compliance with HIPAA regulations and patient confidentiality requirements

- Update patient demographic and insurance information in the system

- Collaborate with clinical and administrative staff to resolve billing issues

Required Qualifications

Education

- High school diploma or equivalent required

- Associate degree in healthcare administration, business, or related field preferred

- Medical billing and coding certification (CPC, CCS, or similar) preferred

Experience

- Minimum 3 years of experience in medical billing, patient accounts, or healthcare revenue cycle

- Experience with electronic health records (EHR) and practice management systems

- Knowledge of medical terminology and common billing procedures

- Previous customer service experience in healthcare setting preferred

Technical Skills

- Proficiency in medical billing software and practice management systems

- Strong computer skills including Microsoft Office Suite (Excel, Word, Outlook)

- Familiarity with insurance verification systems and online portals

- Knowledge of ICD-10, CPT, and HCPCS coding systems

- Experience with electronic claims submission and EDI processes

Core Competencies

- Excellent verbal and written communication skills

- Strong attention to detail and accuracy in data entry

- Ability to work independently and manage multiple priorities

- Problem-solving skills and analytical thinking

- Professional demeanor when dealing with sensitive financial matters

- Knowledge of healthcare regulations including HIPAA compliance

Physical Requirements

- Ability to sit for extended periods while working at a computer

- Manual dexterity for typing and data entry

- Visual acuity to review detailed financial documents and computer screens

- Ability to communicate clearly via telephone and in-person interactions

Work Environment

- Office setting with standard business hours (Monday-Friday, 8:00 AM - 5:00 PM)

- Occasional overtime may be required during month-end closing or high-volume periods

- May require occasional phone work outside normal business hours for patient follow-up

- Professional, fast-paced healthcare environment

Compensation and Benefits

- Competitive salary commensurate with experience

- Comprehensive health insurance package

- Paid time off and holiday pay

- Retirement savings plan with company matching

- Professional development and continuing education opportunities

- Performance-based incentives and bonuses