[Hiring] Patient Account Specialist @GoHealth Urgent Care

Role Description

The Patient Account Specialist is responsible for taking all inbound phone calls, researching customer issues, collecting customer information, collecting payments from customers, and responding to all customer inquiries via fax/email/calls.

Qualifications

• High School Diploma or GED
• 3+ years of healthcare, billing, or service experience
• 3 years Medical Billing experience (preferred)
• CPAR – Certified Patient Account Representative (preferred)
• Associate’s degree in business administration or related field (preferred)
• Medical insurance billing and claims processing (preferred)
• Epic or eClinicalWorks experience (preferred)
• Bilingual (Spanish) (preferred)

Requirements

• Strong interpersonal skills including sound judgement while working with cross functional departments.
• Understanding of basic medical terminology and common healthcare documentation.
• Highly experienced in Microsoft Excel and Word for data entry, reporting, and documentation.
• Strong working knowledge of medical billing codes such as Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) coding for accurate billing and claims processing.
• Exceptional phone and communication skills with the ability to interact effectively across departments and with customers.
• Ability to organize and prioritize tasks efficiently in a fast-paced environment.
• Proficient in navigating computer systems and performing mathematical calculations related to customer accounts and billing.
• Ability to maintain strict customer confidentiality in compliance with HIPAA and company policies.
• Demonstrated ability to follow through with customer inquiries and resolve issues with professionalism and sound judgment.
• Demonstrate flexibility and open mindedness when approaching problem solving and adapting to changing workflows or priorities.
• Ability to calculate deductibles and co-insurance accurately.
• Ability to read and interpret Explanation of Benefits (EOBs).
• Skilled in performing collection activities related to follow-up and account resolution.
• Ability to identify under and overpayments from payors and take appropriate action.
• Experience with third party payor portals for eligibility verification, claim status and account resolution.

Benefits

• Tasks may be conducted within a climate-controlled office setting.
• The role may require the ability to lift, carry, push, or pull materials, supplies, and equipment (up to 15 lbs.) Duties typically involve a combination of sitting, standing, and walking, with frequent changes in position.
• Travel may be required, including travel between facility locations, remote facilities, and out-of-town destinations as needed (0-10%).
• May require the use of safety equipment for infection prevention.

Company Description

GoHealth’s Core Values are essential functions of this position:

• Collaboration: Takes ownership for collectively establishing productive partnerships and relationships.
• Innovation: Consistently uses good judgment, applying creativity to overcome obstacles.
• Diversity & Inclusion: Fosters diversity and inclusion to better understand team members and customers.
• Courage & Integrity: Models and practices the highest ethical and professional standards.
• Accountability: Always shows initiative, demonstrates a bias to action and gets things done.