Patient Account Associate, Special Programs – Vendors

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Capture and generate information related to the patient revenue cycle.

• Examine and resolve accounts receivable for all payors.

• Collaborate with vendors, Payor Relations, and operational departments to address outstanding accounts receivable.

• Revise patient registration in instances of registration-related denials.

• Check payor websites for claim statuses, outstanding accounts receivable, appeals, and submissions of medical documents.

• Address payor denials in line with payor requests and established guidelines.

• Tackle vendor question workqueues and provide suitable responses.

• Assist with claim edits, claim denials, insurance follow-ups, and claim status updates across departmental business areas.

• Meet cash collection goals and uphold specified days revenue outstanding and denial rate targets.

• Keep work queues under one week of inventory while preventing timely-filing losses.

• Make independent choices regarding claim edits, denials, follow-ups, and documentation of correspondence.

• Record write-off requests using the appropriate paycode.

• Submit weekly Productivity Time Tracking Sheets.

• Propose process enhancements and inform management of trends or system issues.

• Address inquiries from supervisors, team members, customers, and patients within required timelines.

• Maintain Hyland workflow and medical record procedures.

• Attend meetings, get involved in committees and departmental activities, and provide cross-coverage support.

• Operate office equipment, create letters, utilize spreadsheets, and input and organize data.

• Fulfill required safety and annual online training and engage in work culture initiatives.

• Uphold confidentiality and adhere to PRMO, DUHS, HIPAA, attendance, and other relevant policies.

⛳️ Requirements

• Residency in North Carolina is required.

• A high school education with proficiency in basic grammar and mathematical principles is necessary.

• Some postsecondary education is preferred.

• A minimum of two years of experience in hospital access, a physician's office, or billing and collections, or an equivalent combination of relevant education and/or experience.

• Exceptional oral and written communication skills.

• Ability to analyze data, manage multiple tasks, and work independently.

• Capability to develop and sustain professional, service-oriented relationships with patients, physicians, coworkers, and supervisors.

• Understanding and compliance with policies and procedures are essential.

• Ability to maintain confidentiality of patient and guarantor financial and medical information in accordance with HIPAA standards.

• Proficiency in operating general office equipment, generating letters, working with spreadsheets, and entering and sorting data.

🏝️ Benefits

• Equal Opportunity Employer dedicated to providing employment opportunities without regard to protected characteristics.

• Reasonable accommodation information and provisions are available upon request.

• Access to training and development through internal and external sources during the review period.

• Engagement in departmental events, committees, cross-departmental initiatives, and projects.

• Remote position with a Monday–Friday work schedule.