Billing And Denial Specialist

HealthPartners•Bloomington, MN

7h•Onsite

About The Position

Supports the overall functions of Billing and Post Service Denials while teaming with Operations and other areas of Patient Financial Services to provide an exceptional patient experience with the financial aspects of receiving care at PNHS while achieving maximization of organization’s cash flow through review and reconciliation of accounts receivable balances; improvement of customer satisfaction through effective and compliant billing practices; and maintenance and development of systems to support these efforts. Complies with federal and state insurance regulations and follows payer guidelines to ensure correct billing and appropriate reimbursement. Contributes to continuous quality improvement as it relates to Patient Financial Services to effectively accomplish our role in the organization’s mission. Coordinates for all Billing and Post Services denial patient accounting system maintenance, enhancement, and development efforts to ensure all department objectives are met. Leads documentation, testing, training, and implantation of any system changes. Acts as a liaison between Billing and Post Service denial, Information Management, software vendors, and other customers of the patient accounting system to ensure process improvement and complete understanding of user requirements. Supports patient accounting systems which process 1,381,000 physician encounters, 17,800 hospital admissions and over 50,000 hospital outpatient procedures annually.

Requirements

Minimum 5 years’ experience in health care and billing.
Two to five years’ experience with automated accounting or health care billing systems, including experience with system maintenance.
Strong analytical and troubleshooting skills.
Demonstrated ability to comprehend system logic and explain it to others.
High level of detail and organization skills.
Proven analytical skills.
Strong leadership and communication skills.
Health care insurance knowledge is required.
Understands the interdependencies and interfaces between finance and billing as well as Compliance and HIPAA regulations.
Familiarity with medical terminology and coding (both CPT and ICD-9).
Focused knowledge of billing, regulations, and insurance.
Proven leadership qualities.
Strong figure aptitude.
Strong verbal and written communication skills.
Strong math aptitude.
Provides support to Post Service Denial/Billing supervisor and team lead work support.
Proficiency in the operations of Microsoft Office (including e-mail and calendar), spreadsheets, word processing applications, telephones, fax machines, and copiers.
Frequent use of spreadsheets, query software and patient accounting applications.

Nice To Haves

Billing system knowledge would be extremely helpful.
Advanced education

Responsibilities

Supports the overall functions of Billing and Post Service Denials.
Teams with Operations and other areas of Patient Financial Services.
Reviews and reconciles accounts receivable balances.
Ensures correct billing and appropriate reimbursement by complying with federal and state insurance regulations and following payer guidelines.
Contributes to continuous quality improvement as it relates to Patient Financial Services.
Coordinates patient accounting system maintenance, enhancement, and development efforts for Billing and Post Services denial.
Leads documentation, testing, training, and implantation of any system changes.
Acts as a liaison between Billing and Post Service denial, Information Management, software vendors, and other customers of the patient accounting system.
Supports patient accounting systems.