Patient Accounting Job Description

Patient Accounting Job Description

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Patient accounting provides training to administrative staff with regards to office/billing policies and procedures, which includes Office of Medical Assistance Bulletins and regulatory requirements.

Patient Accounting Duties & Responsibilities

To write an effective patient accounting job description, begin by listing detailed duties, responsibilities and expectations. We have included patient accounting job description templates that you can modify and use.

Sample responsibilities for this position include:

Work closely with the Patient Access area to improve the correctness of information received
Prepares and completes claims for commercial insurance companies, third party organizations and/orgovernment or self payers.Researches, analyzes and reconciles Medicare/Medicaid billing and reimbursement practices
Identify staffing gaps/vacancies and interview candidates for hiring purposes
Supervise and coordinate/train all staff any temporary or co-op student assistance given on necessary billing and follow up instructions to include usage of third party billing-systems and downloads
Review Edit and Hold bill reports and determine appropriate action to resolve accounts timely for billing
Establish billing procedures for accurate/timely submission of claims and follow up activity to include posting and working of denials received by third party payors & submit to include posting and working of denials received by third party payors & submit procedures to be followed to director for approval
Review payment/denials for correct billing submissions and reimbursement activity to include correct coding assigned and billing instructions followed
Handles problem accounts and corresponds with third party payors as necessary to verify third party billing policy for claim submission or payment activity
Work with the Patient Financial Services Director to develop short- and long-term goals for the department and teams that align with the Finance Department's and the Institute's overarching principles and goals
Work with the Director of Patient Financial Services and other Managers to prepare the annual department budget

Patient Accounting Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Patient Accounting

List any licenses or certifications required by the position: ITIL, CPC, CCS, LA, AAHAM

Education for Patient Accounting

Typically a job would require a certain level of education.

Employers hiring for the patient accounting job most commonly would prefer for their future employee to have a relevant degree such as Associate and Bachelor's Degree in Business, Healthcare, Education, Finance, Communication, Accounting, Health Care, Medical Billing, Computer, Healthcare Administration

Skills for Patient Accounting

Desired skills for patient accounting include:

Epic Systems
Microsoft Office Suite
Specifically Word and Excel
Medicare
Contracts
Regulatory
ICD-9
Medical terminology
Access
Basic office equipment

Desired experience for patient accounting includes:

Knowledge of Registration, Patient Accounting data processing, customer service, California collection law and all insurance billing regulation
2-4 years of accounting experience in a hospital or similar environment
Minimum 1 year contract interpretation experience required, 3-5 years of relevant hospital business office experience preferred
3 years previous medical records experience
Requires knowledge of the working functions of the Medical Record Department
A current LVN or RN license is preferred

Patient Accounting Examples

1

Patient Accounting Job Description

Job Description Example
Our company is growing rapidly and is looking for a patient accounting. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for patient accounting
  • Conduct timely regular staff performance appraisals in accordance with Institute's policies and pre-determined productivity metrics
  • Remain current on industry best practices, update fellow Senior Managers and/or staff of findings, and institute appropriate change to the department, as appropriate
  • Being efficient
  • Anticipates potential areas of concern within the follow up function
  • Provide daily management oversight to all business office functions, including billing, collections, refunds, appeals and payment variances, cash application for the combined business office
  • Collaborate with Finance and Physician Practice leaders to establish strategic plans and goals for continued improvement related to accounts receivable and net revenue performance
  • Analyze and identify opportunities for process improvement using physician financial services reporting data
  • Ensure electric medical records system is utilized to the full potential
  • Demonstrate excellence in management of all levels of employees
  • Act in the role of Governmental Billing Supervisor, supervise staff members, train, evaluate and discipline staff
Qualifications for patient accounting
  • 2-4 years of accounting, financial analysis and decision support experience in a hospital or similar environment
  • Knowledge of Cerner ProFit, a plus
  • Knowledge of Cerner clinical applications
  • Minimum one (1) year experience in a broad medical/surgical background or one (1) year experience in medical auditing is preferred
  • Knowledge/build/use of the following o Base Build, Payment Plans, Collection Agencies, Collection Criteria, Work Queues, Rules
  • Minimum one (1) year experience in medical auditing or HIM coding is preferred
2

Patient Accounting Job Description

Job Description Example
Our company is growing rapidly and is looking to fill the role of patient accounting. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient accounting
  • Act as the lead advisor in the development of billing and collection strategies for all third-party payors including Medicare, Medicaid, commercial insurers, Veterans Administration, Hospice, and managed care contractors
  • Perform monthly audits of outstanding claims not billed
  • Work closely with Health Information Management staff for compliant billing
  • Attend all seminars and teleconferences in the realm of Governmental Billing
  • Ability to work with other departments to resolve issues that affect billing
  • Assists with the preparation of assigned monthly account reconciliations and variance documentation
  • Assists with payroll, accounts receivable and/or accounts payable functions
  • Enters data into and generates reports from the department's information systems/programs
  • Retrieves, files, organizes and archives financial records as necessary
  • Prepare work papers supporting assigned financial analyses/projects
Qualifications for patient accounting
  • A current LVN or RN license, or CCS, CPS certification is preferred
  • Bachelors degree required, with a minimum of 10 years experience
  • Experience or knowledge of hospital and/or professional operations basic third parties payer requirements
  • This position requires a Bachelor's Degree, with five or more years of Information Systems experience and a minimum of three years of physician office experience or Acute Care Registration experience
  • A good working knowledge of Acute Care and Physician office Registration and Scheduling processes
  • Understands the workflow for registration for acute care facilities and physician offices to include encounter types, Locations, Pre-Registrations, and Eligibility Checking
3

Patient Accounting Job Description

Job Description Example
Our company is searching for experienced candidates for the position of patient accounting. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for patient accounting
  • Communicate financial problems/issues identified during performance of tasks to Lead/Manager
  • Assists the Information Systems department in maintenance of system's data files and implementation of various modules & system functionality
  • Direct and evaluate activities of the direct reports to see that all of their duties are carried out at a high level of efficiency and professionalism
  • Establish baselines and manage accounts receivable for physician offices to ensure that they are kept at an acceptable level
  • Meet with physicians and administration regarding billing, staffing, coding and fee setting issues
  • Works directly with users in defining new application requirements and resolving project system issues
  • Works directly with users in defining new application requirements and resolving system issues, responding to user problems to explain new technologies and present deliverables
  • Collaborates with co-workers to coordinate and complete all system tasks required to support active projects
  • Understands the revenue cycle environment that exists at support sites and deliver excellent customer service, cost savings, and fast delivery of technologies to meet the requirements of business needs
  • Develops application expertise and knowledge and translate expertise into solutions for customers
Qualifications for patient accounting
  • Preferred experience with Cerner Registration and Scheduling Management applications or other Registration and Scheduling applications
  • Numerical ability to review statistical data
  • Knowledge of Managed Care Contract interpretation
  • Knowledge of Patient Accounts Receivable systems and related applications required
  • Proactively monitor all work queues and ensure that the proper amount of staff is in place and that turn time expectations are being met
  • Ensures all productivity standards are met in a timely manner through measuring and monitoring
4

Patient Accounting Job Description

Job Description Example
Our company is growing rapidly and is looking to fill the role of patient accounting. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient accounting
  • Ensures client Service Desk tickets and other requests/issues are appropriately followed up on and adequately resolved in a timely manner
  • Fulfills departmental requirements in terms of providing work coverage, on call coverage, and administrative notification as scheduled including periods of personnel illness, vacation, or time off
  • Reviews OneChart to validate and assign diagnoses and procedure codes for outpatient diagnostic services & simple outpatient visits
  • Demonstrates the ability to achieve accurate, complete and consistent selection of principle and secondary diagnoses and procedures, identifies signs and symptoms for medical necessity
  • Correctly queries physicians for clarification of documentation as directed by Coding Query guidelines, Coding Clinic, and CPT Assistant
  • Follows official coding guidelines and directives for all coding and assignment of payment categories
  • Serve as a resource to the data management team
  • Balance, research and reconcile all deposits posted daily, including daily bank statements and electronic funds transfers and report to appropriate departments
  • Reconcile monthly refunds with reporting from all accounting systems against Lawson reports
  • Reconcile NSF’s monthly with reporting from all accounting systems
Qualifications for patient accounting
  • This position requires two years of technical school or an Associate's Degree, with three or more years of Information Systems experience and a minimum of three years of physician office experience or Patient
  • Accounting/Revenue Cycle experience
  • Preferred experience with Cerner ProFit application or other Revenue Cycle applications
  • Participatory management oriented
  • Computer skills include proficiency in e-mail, word processing, spreadsheets and databases
  • Regional resource for respiratory Care, sleep diagnostics and cardiac surveillance
5

Patient Accounting Job Description

Job Description Example
Our company is growing rapidly and is looking to fill the role of patient accounting. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for patient accounting
  • Updates balancing tools as needed to stay current with FMG policies and procedures
  • Establishes and maintains a professional relationship with all FMG Leadership in order to resolve issues or concerns
  • Interfaces with outside consultants including contract negotiations and third party billing
  • Assists with development, monitoring and compliance of departmental budget(s)
  • Manages revenue valuation quarterly reviews performed by auditors
  • Produces reports measuring financial and operational performance including, but not limited to cash collections, unbilled, denials, volume trends, contract yield, evaluation of predictive models with actual results, financial performance analysis, benchmarking and trend analysis
  • Sets and adheres to project budgets and timelines
  • Answer patients questions regarding billing
  • Provide patients with account information
  • Receive payments for patient accounts in Cashiers office
Qualifications for patient accounting
  • 5-7 years on charge master knowledge along with national billing standards
  • Must possess strong knowledge of hospital AR management and payer claims and EOB reviews
  • Understands the workflow for scheduling for physician offices to include appointment types, locations, ancillary department scheduling, Check In and Check Out
  • Actively develop direct reports through coaching, feedback, and projects to ensure their success and to create a highly engaged, productive team while meeting all performance objectives
  • Must possess strong knowledge of hospital registration, insurance billing, and overall AR management
  • Minimum 1 year of hospital payer contract knowledge and adjudication required

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