Account Specialist - Full Time - Germantown, TN

Job Title: Account Specialist About Us At West Cancer Center, we are committed to delivering exceptional patient care through innovation, collaboration, and operational excellence. Our Revenue Cycle team plays a vital role in supporting our mission by ensuring accurate billing, reimbursement, and financial processes that allow us to continue providing high-quality oncology services to our patients. Position Overview The Account Specialist is responsible for managing accounts receivable activities related to patient and insurance balances, ensuring accurate billing, reimbursement, and timely revenue collection.

This position reviews and resolves claim denials, payment discrepancies, billing issues, and outstanding account balances while maintaining exceptional customer service and compliance with organizational policies and procedures. Work is performed under the general supervision of the Revenue Cycle Manager.

Key Responsibilities

Review patient accounts and insurance claims to verify accurate payments, adjustments, and reimbursements Identify and resolve overpayments, underpayments, denied claims, and unpaid balances Investigate and correct billing discrepancies to ensure proper claim processing and reimbursement Respond to billing inquiries from patients, insurance carriers, and healthcare providers via phone, fax, email, and written correspondence Process and review daily correspondence received from insurance carriers and patients, including payment discrepancies, claim corrections, and other account-related matters Manage and process credit balances in accordance with organizational policies and procedures Gather and submit supporting documentation, including medical records, coding information, drug inserts, and other reimbursement-related materials for claim reviews, audits, and appeals Collaborate with Coding, Medical Records, Patient Representatives, and clinical staff to resolve claim denials, coding issues, referral

Requirements

, and prior authorization concerns Communicate effectively with insurance carriers regarding claim status, reimbursement issues, appeals, and account resolution Maintain patient confidentiality and protect sensitive information in accordance with HIPAA regulations and organizational standards Attend departmental and organizational meetings as required Assist with onboarding, training, and orientation of new employees as assigned Maintain professional conduct, appearance, attendance, and punctuality Adhere to all clinic safety policies, procedures, and regulatory

Perform additional duties and special projects as assigned Claims Management Accounts Receivable

Responsibilities

Review and resolve claim denials and rejections received through clearinghouses and third-party payers Update clearinghouse and practice management systems with corrected claim information and account activity Monitor outstanding claims and follow up with insurance carriers regarding unpaid or denied claims for assigned providers Ensure claims remaining unpaid are followed up within 60 days of submission Correct and resubmit denied claims promptly and accurately Resolve electronic claim denials within five (5) business days of receipt Follow established departmental collection guidelines and revenue cycle procedures Communicate professionally with physicians, clinical staff, and insurance representatives regarding reimbursement and claim-related issues Utilize diplomacy, professionalism, and effective communication skills to resolve difficult situations and maintain positive working relationships

Qualifications

Education Experience Required: Equivalent combination of education, training, and relevant work experience Minimum of two (2) to three (3) years of experience in medical billing, accounts receivable, revenue cycle management, or a related healthcare financial role Strong analytical, problem-solving, and organizational skills Excellent verbal and written communication skills Ability to manage multiple p