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1

patient account specialist

  • Charge Posting
  • Payment Posting
  • Insurance Verification
  • Referrals
  • Coordinate Meetings
  • Phones
  • Data Entry
2

patient account specialist

  • Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate insurance payor
  • Identify trends and perform root cause analysis on unpaid and underpaid claims
  • Develop and maintain positive working relationships with clinical personnel, teammates, and insurance representatives
  • Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
  • Strong organizational skills with an ability to effectively manage large amounts of detailed information
3

patient account specialist

  • Retrieve patient medical records from physicians, technicians, or other medical personnel.
  • Enter data, such as demographic characteristics into the computer
  • Obtain documentation required by patient’s insurance.
  • Call insurance companies 
  • Call patient’s to get correct information such as their physicians, emergency contacts, insurance information, correct address, etc.
  • Adjust off money owed if documentation insurance requires for billing if not obtained in a timely manner.
  • Find and fix account billing errors.
4

patient account specialist

  • Properly notate each account worked everytime it is being touched.
  • Follow up on accounts in a proper time frame.
  • Keep up on emails throughout the day and working special projects asigned by management.