Patient Account Specialist – Kootenai Health – Coeur d’Alene, ID

Revenue Cycle – Patient Accounts

Full Time, Evenings

Requisition # 32692

Patient Account Specialist


Position Summary:
Responsible for billing and collecting patient cost share balances from third party claims and billing and collecting self-pay claims. Generates and mails patient statements and final notices, initiates collection calls and responds to incoming calls from patients and guarantors making payments or inquiring about billing status. Researches and resolves complex billing issues, utilizing knowledge of current hospital and medical billing and reimbursement methodologies. Works in close coordination with Financial Counselors and Customer Service personnel to support a favorable patient experience.

Performs Accounts Receivable Collections by issuing patient statements, making outbound collections calls and handling inbound patient calls to take payments or respond to billing inquiries

Reviews patient account to ensure account balance accuracy before statement is generated

Works with Business Services, Financial Counseling, Coding, HIM, Patient Advocacy, and clinical departments to resolve patient inquiries, or billing or patient care complaints

Researches and resolves claims discrepancies or routes claims issue to appropriate department for resolution

Processes and posts patient payments to guarantor accounts. Assures that payments not specifically directed by the patient or guarantor are applied per established payment posting logic (programming)

Analyzes patient accounts receivable to respond to patient billing concerns; escalates to Patient Advocacy when patient questions are related to a patient care complaint

Identifies billing and coding errors from the EOB posting and works with source departments to facilitate corrections as needed

Identifies Commercial, Medicare, Medicaid and other coverage, in coordination with the patient; assigns the correct primary and secondary payer information and transfers account to Business Services for processing of corrected claim. Enters notes in the billing system to document corrected billing actions

As needed for newly identified third party payer coverage, verifies insurance eligibility and benefit information, collects patient co-payments, co-insurances, and deductibles

Supports Financial Counseling by completing financial assistance screening for patients who express an inability to pay, per Financial Assistance policy. Transfers patient to Financial Counseling Department, as appropriate

Performs other related duties as assigned

Familiar with standard concepts, practices, and procedures within the field

Relies on experience and judgment to plan and accomplish goals

Regular and predictable attendance is an essential job function

Competent to meet age specific needs of the unit assigned

Requirements and Minimum Qualifications:
Associate’s degree in a related field preferred

Minimum 1 year experience working in a hospital/health care business office or financial clearance department, scheduling, or registration required

Working knowledge of current health insurance reimbursement methodology, hospital and medical billing practices preferred

Ability to read and explain an Explanation of Benefits (EOB) and Remittance Advice (RA)

Familiarity with CPT codes, and medical terminology, preferred

Excellent communication, organizational and analytical skills required

Knowledge and demonstrated competence working with Microsoft Office software


Working Conditions:
Must be able to lift and move up to 10 lbs

Must be able to reach arms above or below shoulder height

Must be able to maintain a sitting position

Typical equipment used in an office job

Repetitive movements

About Kootenai Health

Kootenai Health has a solid reputation in the Pacific Northwest and has a rich history that spans nearly 60 years of innovation, achievements, and healthcare benchmarks. Our main campus is located in Coeur d’Alene, Idaho, and includes a 330-bed community-owned hospital. We have been recognized among large employers as the No. 1 Best Place to Work in Healthcare by Modern Healthcare magazine and are regularly recognized by Cleverly and Associates for providing value to our community.

Three Time Magnet Designated since 2006 – This designation is nursing’s top honor, accepted nationally as the gold standard in nursing excellence. Kootenai was the first hospital in the Inland Northwest to receive this designation and the second in Idaho.

Member of the Mayo Clinic Care Network – In 2014, Kootenai Health became the 30th member, a national network of like-minded organizations that share a commitment to better serving patients and their families. Kootenai Health is the first health care organization in the Pacific Northwest to be selected as a member of the Mayo Clinic Care Network, and, like all network members, will remain a locally-owned and independent health care provider.

Most Wired / Wireless Hospital, Hospital & Health Networks – Kootenai is consistently named one of the country’s 100 Most Wired hospitals. In this same survey, Kootenai also earned a spot on the Top 25 Most Wireless hospitals.

Three Time Great Workplace Award – Kootenai Health has been recognized as one of the most engaged and productive workforces in the world!

As your next employer, we are excited to offer you:
100% employer-paid health insurance premiums for full-time employees. Part-time employees pay only a small portion a month for medical, dental, and vision coverage

Tuition assistance program

457 retirement plan

Convenient near campus daycare

Competitive salaries with a 12% differential for nights and an 8% differential for weekends

An award-winning and incentive-driven wellness program

Employee reward, recognition, and retention programs

Professional development and leadership training opportunities

And much more

Have you considered a career at Kootenai Health? Maybe you should!

Apply today!

Kootenai Health complies with applicable federal civil rights laws and does not discriminate based on race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.

Click Here To Apply

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