Patient Account Coordinator (PAC)

Description

The Patient Account Coordinator is responsible for managing patient accounts and billing processes related to services provided within the facility. This position ensures accurate and timely processing of claims, billing, and account management while maintaining positive relationships with patients, families, and insurance providers.

Schedule: Full-Time, Weekdays, 8 Hour Shifts

Primary Responsibilities and Duties:

• Manage patient accounts and verify patient information, including demographics, insurance coverage, and financial data for residents.
• Process and submit claims to insurance companies and government agencies for services, ensuring compliance with regulations and payer requirements.
• Monitor and follow up on unpaid claims, denials, and rejections specific to billing, taking appropriate action to resolve issues and secure payment.
• Respond to patient and family inquiries regarding billing, insurance coverage, and payment arrangements, providing clear and accurate information.
• Collaborate with clinical staff and other departments to ensure accurate documentation and coding of services rendered.
• Maintain accurate and up-to-date patient account records in the billing system, tracking account status and payment history.
• Prepare and distribute patient statements, invoices, and other billing-related correspondence in a timely manner.
• Process patient payments, adjustments, and refunds for services, reconciling accounts and maintaining accurate financial records.
• Assist with month-end closing procedures, including preparing reports and analyzing billing trends.
• Stay informed of industry changes and updates related to healthcare billing, coding, and regulations, ensuring compliance and optimal reimbursement.
• Perform all other duties assigned by the billing manager or designated supervisor, demonstrating adaptability and a commitment to continuous improvement.

Requirements

Job Qualifications:

• High school diploma or equivalent; associate's degree or certification in medical billing, healthcare administration, or related field preferred.
• 1 year of experience in medical billing with a focus on nursing facilities preferred but not required.
• Strong understanding of billing processes, insurance regulations, and reimbursement methodologies.
• Proficiency in medical billing software and electronic health records (EHR) systems.
• Excellent analytical, problem-solving, and organizational skills, with a high level of attention to detail.
• Strong communication and interpersonal skills, with the ability to interact effectively with patients, families, and insurance providers.
• Knowledge of relevant healthcare regulations, policies, and procedures, including HIPAA, Medicare, and Medicaid guidelines.
• Ability to work independently and manage time effectively, prioritizing tasks and meeting deadlines.
• Experience with Microsoft Office applications, including Excel and Word.

Physical Requirements:

• Capability to perform physical tasks such as bending, standing, walking, and climbing stairs for extended periods.
• Manual dexterity and hand-eye coordination for handling paperwork, typing, and using office equipment.
• Visual and auditory acuity to review documents, communicate effectively, and respond to resident inquiries.
• Stamina and physical endurance to handle a fast-paced work environment and meet deadlines for billing submission and account management.
• Ability to lift and carry boxes of medical records and supplies, as needed, up to 5lbs.
• Ability to bend, stoop, kneel, and reach to access files, storage cabinets, and other work-related materials.
• Ability to work in an office environment with moderate noise levels and occasional interruptions.
• Maintain regular attendance and timeliness as set forth within the work schedule designated by the department supervisor/manager.