Accounts Compliance Specialist

The Accounts Compliance Specialist is responsible for ensuring the accuracy, completeness, and integrity of client account information to support efficient billing processes, appropriate reimbursement, and compliance with organizational and payer requirements. This position performs essential functions related to financial clearance, insurance verification, patient account review, and revenue cycle quality assurance.
Key responsibilities include verifying insurance eligibility and benefits, reviewing client financial responsibilities such as copayments and deductibles, confirming appropriate grant and program funding, and ensuring accurate documentation of sliding-scale and reduced-fee arrangements. The Accounts Compliance Specialist also conducts ongoing reviews of provider schedules and upcoming appointments to identify missing information, account discrepancies, and potential billing issues before services are provided.
Working collaboratively with Intake, Billing, and clinical staff, this position communicates discrepancies, facilitates necessary corrections, and maintains accurate and up-to-date client financial records within the electronic health record (EHR). Through proactive account review, ongoing quality monitoring, and identification of recurring issues, the Accounts Compliance Specialist helps prevent billing errors, reduce claim denials, and support the organization's financial integrity and operational efficiency.

Employment type
Full-Time

Work arrangement
No