Augusta Health · 4 months ago
Patient Financial Services (PFS) Account Specialist (Accounts Receivable Clerk (Healthcare), Patient Accounts Rep, Patient Billing Coordinator)
Fishersville, Virginia, United States
Full-time
Onsite
New Grad, Entry Level
0+ years expAugusta Health is an independent, nonprofit health system located in Virginia’s Shenandoah Valley. The Patient Financial Services Account Specialist will provide organizational support in patient accounting, focusing on billing and collection activities to ensure prompt account resolution and cash flow optimization.
Health CareHospitalNon Profit
Responsibilities
Working daily tasks generated within any/all of the departments receivables management computer systems including assigned pre billing edit rejected claims and unpaid denied claims through identifying, documenting and following up on problematic issues that prevented the successful and timely transmission of accurate/clean claims by a third party support partner as well as following up on denied claims by governmental and other third-party payers as assigned in the work queue
Identifying and resolving invalid or missing claim data by communicating with the physician office practices, hospital clinical departments, compliance representatives, billing support personnel and/or other constituents to secure and correct the data which prevents or compromises the accurate transmission of the claim to the payer
Knowledge of the appeals process in researching denied claims to resolve discrepancies and correct claim data for re-billing
Overseeing assigned accounts receivable to ensure claims are being processed to completion through the following methods: Proactively generating aging reports through the appropriate billing system
Processing of unclean claims in a timely manner in the claims scrubbing system
Accurate and timely follow up on unresolved claims through communications with third party payers and patients, including electronic and verbal communication channels
Troubleshooting issues that surface to ensure timely resolution
Monitoring claims for denial trends and informing all parties involved including: Management, Office staff, Physicians, Department leaders, And Revenue Cycle leadership
Maintaining a working knowledge of all payer standard transactions sets, such as: 837 electronic claims processes, 835 electronic remittances processes and code sets, Electronic fund transferring, to ensure timely deposits of electronic payments
Ensuring timely accounts resolution and optimization of cash flow: Knowledge of the appeals process in researching denied claims to resolve discrepancies and correct claim data for re-billing
Maintaining working knowledge of multiple systems used in the day-to-day functions of the centralized business office
Prompt response to payer and patient correspondence
Providing regular feedback to management related to payer issues, provider office issues, and any other issues that will delay payment of claims
Ability to understand trends versus one off situations that may become a pattern
Keeping informed of new federal and state billing regulations any guidelines and report any issues to leadership
Meeting productivity standards as set by departmental policy in the areas of quantity of work and quality of work
Other duties as assigned by Hospital and Physician Billing Manager, or Patient Accounting Director
Qualification
Required
High School Diploma or GED
Eligibility to work in the United States and meet Virginia state employment requirements
Preferred
Certification through AAHAM, AAPC, HFMA or other nationally recognized revenue cycle association is desired, can be obtained on the job
Medical or accounting experience
Knowledge of third party and governmental billing/collection techniques
Prior experience in a hospital, healthcare system, or related service-oriented environment
Familiarity with Augusta Health's systems, workflows, or organizational culture is a plus
Benefits
Comprehensive insurance package including medical, dental, and vision coverage
Retirement savings plans and financial wellness support programs
Generous paid time off and flexible scheduling to promote work-life balance
Career development programs including clinical ladders, shared governance, and advancement opportunities
Personalized onboarding with dedicated preceptors and ongoing educational support
Tuition reimbursement and access to onsite childcare
Free onsite parking, 24/7-armed security for your safety, a Health Fitness Reimbursement Program, and an onsite credit union and pharmacy
Competitive pay with shift/weekend differentials
Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e., movie tickets)
Company
Augusta Health
Augusta Health is the finest community hospitals in America.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Mary N. Mannix
President and CEO
Leigh Williams
Director, Applications
Recent News
Morningstar.com
2025-12-15
EIN Presswire
2025-01-30
2024-10-30
Company data provided by crunchbase