Patient Account Specialist - Full Time - First Shift

Cost Center

901 ORS Admin

Scheduled Weekly Hours

40

Work Shift

First Shift (United States of America)

Shift & Status

Who Are We?

We at Pine Rest believe in the power of healing and that everyone in our community has the right to expert care for mental health and substance use disorders. We are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main campus, and our network of clinical sites across Michigan. We are a tight-knit community of healers who witness the impact of our life-changing work each day.

Each day, we are closing the gaps in access to care. We are innovating through leading-edge research, testing, programs, and treatment modalities that others replicate across the country. Our services include a state-of-the-art psychiatric urgent care center and a soon-to-be-built pediatric behavioral health center, outpatient, inpatient, partial hospitalization (day programs), assessment and testing, residential, addiction treatment and specialty services such as crisis response, employee assistance programs, forensic psychiatry and psychology, and neuromodulation. On-the-job educational programs for nurses, psychologists, advanced practice providers, psychiatrists, and chaplains are equipping the next generation of care providers.

We are passionate about serving and are honored to be a part of this incredible work.

Patient Account Specialist
Grand Rapids, MI

We are seeking a detail-oriented and customer-focused Patient Account Specialist to support patient account management, billing, collections, reimbursement, and administrative functions across clinical services. This role serves as an important resource for patients, insurance payers, and care teams by helping ensure accurate account maintenance, timely claim processing, and exceptional customer service. Information sourced from the provided job description.

Company Benefits: • Medical, Vision, Dental, and Wellness Plans
• Competitive Front Loaded PTO Packages
• 403(b) Retirement Savings Plan
• Loan Forgiveness/Tuition Reimbursement (For Eligible Positions)

Patient Account Specialist Key Responsibilities: • Maintain patient accounts including demographic verification, guarantor setup, insurance updates, benefit verification, authorization review, and account maintenance
• Ensure patients are scheduled with participating providers and appropriate payer information is recorded
• Contact insurance companies to obtain authorizations and resolve claim denials, payment discrepancies, outstanding balances, and other reimbursement issues
• Process failed claims and ensure claims meet clean claim requirements for timely reimbursement
• Support Medicaid and Medicare reporting requirements and maintain required patient agreements
• Apply patient payments accurately and monitor reimbursement compliance with payer contracts
• Prepare and balance bank deposits
• Respond to patient inquiries regarding account balances, payment options, and billing concerns
• Establish payment arrangements within established organizational guidelines
• Review delinquent accounts and initiate appropriate collection activities or agency referrals
• Administer and document Patient Assistance Fund (PAF) applications and transactions
• Maintain knowledge of payer regulations, billing requirements, and reimbursement guidelines
• Serve as a resource to clinical sites regarding insurance, billing, and reimbursement processes
• Provide administrative support including patient check-in and check-out, phone triage, appointment coordination, scanning, correspondence, and scheduling support
• Promote a professional, customer-friendly, and inclusive environment for patients, families, and coworkers
• Perform other duties as assigned

Patient Account Specialist Qualifications: • High school diploma or equivalent required
• Associate degree or equivalent knowledge, skills, and abilities preferred
• Minimum of one year of experience in a related field required
• Previous healthcare billing, collections, insurance verification, or patient account experience preferred
• Strong customer service and communication skills
• Excellent organizational and problem-solving abilities
• Ability to manage multiple priorities while maintaining attention to detail
• Proficiency with computer systems and office software applications
• Ability to work independently and collaboratively in a fast-paced healthcare environment

Patient Account Specialist Additional Details: • Pay based on education and experience
• Non-Exempt (hourly) position
• Office and healthcare support environment
• Frequent interaction with patients, insurance representatives, and clinical staff
• Competitive benefits package

Pre-Employment Requirements

Employment is contingent upon successful completion of a background check, education verification, and drug screen.

Equal Opportunity Employer

Pine Rest is an equal opportunity employer and does not discriminate on the basis of race, color, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other legally protected characteristic. We are committed to fostering a diverse, equitable, and inclusive workplace.

The equivalent base pay range for this position is $16.34 - $22.88. Your interview and offer letter will specify whether the role is hourly or salaried. Please note that this range does not include potential shift differentials, incentives, or bonuses, which may be part of the total compensation package. Final base pay will be determined based on location, experience, education, certifications, and FTE status.