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The Patient Accounts Specialist is responsible for monitoring and analyzing patient accounts within a specialized billing area. This position is governed by agency/institution policy. This position is governed by state and federal laws and agency/institution policy.

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Special Job Requirements:


Typical Functions:

Monitors changes in billing procedures within assigned area and communicates changes to employees in work unit. Audits bills generated from computerized billing system, makes necessary corrections, and tracks claims for prompt payment. Reviews and matches patient billing information with billing verifications, diagnoses, and other supporting documentation. Monitors patient billing activities to ensure timely and proper completion and submission of bills. Conducts follow-up of third party billing to ensure timely receipt of billing verifications, authorizations and claims. Contacts medical records department for necessary medical information, researches problem accounts, and prepares performance reports for work unit activities. Provides technical assistance to other billing groups as needed. Performs other duties as assigned.

Knowledge, Abilities, and Skills:

Knowledge of bookkeeping procedures. Knowledge of patient billing procedures. Knowledge of third party billing requirements. Ability to monitor and coordinate patient billing activities. Ability to analyze patient accounts in a specialized billing area. Ability to research and resolve issues with problem or difficult accounts.

Minimum Qualifications:

The formal education equivalent of a high school diploma; plus one year of specialized training in bookkeeping or related field. Additional requirements determined by the agency for recruiting purposes require review and approval by the Office of Personnel Management. OTHER JOB RELATED EDUCATION AND/OR EXPERIENCE MAY BE SUBSTITUTED FOR ALL OR PART OF THESE BASIC REQUIREMENTS, EXCEPT FOR CERTIFICATION OR LICENSURE REQUIREMENTS, UPON APPROVAL OF THE QUALIFICATIONS REVIEW COMMITTEE.

Required Certificates: