Patient Account Specialist - Cancer Care Northwest

For over four decades Cancer Care Northwest has been the Inland Northwest's premier cancer center, providing an integrated approach to the diagnosis, treatment and healing of cancer and blood-related diseases.

Our collective passion to fight against cancer is what motivates and inspires us every day, and is the reason Cancer Care Northwest has become the Inland Northwest's premier cancer center. We provide comprehensive, innovative, compassionate, integrated care throughout each patient's journey. We are searching for dedicated professionals who share our passion in saving lives. Are you looking to work alongside a team of professionals passionate for patient care? Join us in our mission to save lives.

Cancer Care Northwest is seeking a Full-time Patient Account Specialist.

The Patient Account Specialist is an important member or our billing/reimbursement team and is responsible to ensure that professional/hospital services provided by Cancer Care Northwest are reimbursed by third party payers including Medicare, Medicaid, Managed Care Organizations, third-party payers and/or facilities. You will resolve claim denials, short-payments, credits and outstanding claims to ensure timely and appropriate reimbursement. The Patient Account Specialist team also answers incoming calls to assist patients with inquiries.

Essential Job Functions may include:

• Demonstrates knowledge of insurance benefits that affect claim payment, rules/regulations regarding payer billing guidelines and familiarity with payer websites and claim processing procedures.
• Basic understanding of ICD10, CPT/HCPC, modifiers, place of service and insurance EOBs.
• Identify denials and underpayments.
• Submitting corrected claims, preparing and submitting grievances and appeals and resolving claim rejections.
• Ability to navigate payer websites and use delegated claim resolution tools.
• Review and respond to written correspondence.
• Ensure patient account data is accurate and communicate with team members to correct any variances.
• Document all activity in the Practice Management System.
• Complete written requests to make appropriate AR adjustments and/or refund requests.
• Prioritizes and completes all work in an accurate, effective and efficient manner.
• Resolve outstanding accounts at required productivity and accuracy requirements.
• Maintains comprehensive knowledge of the work assigned.
• Maintains open and professional communications with customers, colleagues and vendors.
• Performs well in a team environment.
• All employees of Cancer Care Northwest are required to support and adhere to the Cancer Care Northwest Compliance Program, to include the Code of Ethics and Business Standards.

To perform this job successfully, an individual must have:

• High School Diploma or equivalent.
• One (1) year of patient accounts experience or, two (2) years of medical business office experience.

Benefit information and eligibility can be found at https://www.cancercarenorthwest.com/join-our-team/

** This position is not remote **

Salary range $20.14 - $28.20 DOE