SouthEast Alaska Regional Health Consortium (SEARHC) · 4 months ago
Patient Financial Services Specialist II
AK - Juneau
Full-time
Onsite
Entry Level
$25/hr - $28.45/hr
2+ years expSouthEast Alaska Regional Health Consortium (SEARHC) is a non-profit health consortium serving the health interests of Southeast Alaska residents. The Patient Financial Services Specialist II is responsible for validating billing information, providing customer service related to billing inquiries, reconciling payments, and processing incoming mail, while ensuring compliance with billing policies and procedures.
Health CareNon Profit
Responsibilities
Validates changes and billing information
Validates proper charge codes, billing, and adjudication of claims in accordance with standard federal, state, and private billing policies and reimbursement principles
Stays current on changing payor-specific charging and billing rules
Assists with other special projects related to billing/rebill projects
Identifies, analyzes, and reconciles billing errors or omissions
Provides service to customers, answering questions and resolving issues
Answers patient billing questions and takes necessary action to resolve the account
Validates balance, bills and follows-up on patient self-pay accounts consistent with the Consortium’s discount, bad debt and charity policies
Locates and monitors delinquent patient self-pay accounts, notifies patients of delinquent accounts by mail or telephone, and arranges for debt repayment
Collaborates with financial counselors to identify alternative funding sources for patients
Reconciles payments
Logs all transactions posted to the organization’s bank account into the cash log and allocates all monies to the appropriate EHR system or identifies as a general ledger transaction
Balances all transactions posted to source system and daily batch deposits
Researches and resolves un-applied cash and misapplied payment research requests
Communicates effectively with the cash posting team and participates and contributes constructively to produce results in a cooperative effort to ensure that all funds are processed, scanned, and batched for posting within established service levels
Processes incoming mail
Prints, scans, and organizes correspondence such as EOBs, letters, and denials
Downloads back-up for clinic deposits in the PFS shared drive folders
Logs denials and works closely with billing to ensure proper follow up
Enters account history notes when necessary for billing team follow up
Hands off other correspondence to proper staff for follow up
Facilitates insurance and patient refunds and ensures all back-up is scanned into refund log
Assists in communication of strategies or messages from senior leadership
Accurately posts all cash, checks, credit cards, and electronically transferred funds to beneficiary and non-beneficiary accounts within 3 business days of cash deposit or escalate non-postable deposits for resolution
Researches and resolves un-applied cash and misapplied payment research requests
Balances all transactions posted to source system and daily batch deposits
Deciphers Explanation of Benefits (EOB) and balances transfer money to the secondary insurance or patient liability
Resolves rejected electronic transactions and assists with the identification and implementation of new payers for electronic transactions; posts incoming claim denials and work closely with the billing/denials team to document within denials log and ensure proper follow up and appeals
Participates in development and updating of organization procedures and update of forms and manuals
Performs a variety of general clerical duties and other routine functions
Other duties as assigned
Qualification
Required
High school diploma or equivalent – required
Two years of experience in billing, collections and/or cash posting – required
Knowledge of hospital or clinic billing and follow up and medical terminology
Knowledge of payor remittances and basic knowledge of CPT's, HCPCS, and Revenue Codes
Knowledge of major insurance companies' billing policies to ensure compliance and insurance claim forms
Knowledge of specific specialties within the hospital or clinic billing area
Knowledge of reconciling and balancing of payments received against account receivables
Using a keyboard and 10-key
Problem solving, decision making and detail orientation
Verbal and written communication
Collaborate within cross-functional teams
Work in a fast-paced setting
Preferred
Associates degree in related field – preferred
Certified CRCR (HFMA-Medical), CRCS (AAHAM-Medical), or CDBS (ADCA-Dental). Current employee must be in good standing to qualify for employer-paid certification
Benefits
Generous benefits
Retirement
Paid time off
Paid parental leave
Health, dental, and vision benefits
Life insurance
Long and short-term disability
And more
Company
SouthEast Alaska Regional Health Consortium (SEARHC)
For nearly 50 years, SEARHC has provided high-quality healthcare services to the residents of Southeast Alaska.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Charles Clement
President, CEO
Recent News
2024-04-25
2024-04-25
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