PATIENT ACCOUNTS SPECIALIST 1

KidsPeace • Schnecksville, PA

211d

About The Position

The Patient Account Specialist is responsible for accurate and timely billing of all services delivered as well as ensuring all revenue is collected.

Requirements

• High School Diploma or equivalent required.
• BA/BS degree in related field with equivalent work experience preferred.
• Minimum 1 years' experience in billing/collections/cash application in a healthcare setting preferred.
• Basic skill with the Microsoft Office suite (Outlook, Word, Excel, etc.) is required.
• Strong mathematical, analytic skills and attention to detail preferred.
• Experience with third party payers, Medicaid, Managed Care and governmental billing/collections preferred.
• Must be at least 21 years of age.
• Valid driver's license required.

Responsibilities

• Ensure accurate and timely billing of claims to payers.
• Verify all services delivered are billed to the correct payer.
• Work all pre-billing/post-billing reports to ensure correct data on claims.
• Identify and resolve claim issues.
• Guarantee timely secondary billing submissions based on the payer requirements.
• Complete understanding of contract requirements of each payer as it relates to billing/collections (timely filing, specific invoicing requirements, etc.).
• Ensure timely processing of any re-billing invoices/claims.
• Manage any fiscal year-end billing.
• Follow up & troubleshoot outstanding Accounts Receivable balances.
• Run reports including (but not limited to) claim aging, held claims, unbilled claims.
• Work with the program and funding sources to correct any issues/re-bill claims.
• Follow up with funding sources on a regular basis to obtain status of payment on claims.
• Ongoing active collection engagement to minimize risk of any negative write-offs or adjustments to the AR.
• Develop and maintain program specific billing & collection process documentation.
• Work closely with various KidsPeace departments (finance, contracts, programs, etc.) to resolve any issues with payment.
• Facilitate resolution of discrepancies caused by payer that resulted in short/over/no pays.
• Conduct accounts receivable revenue cycle meetings with interdisciplinary teams on a regular basis to identify troubled accounts and payer trends.
• Propose solutions for reimbursement on difficult accounts.
• Collaborate on process improvement on the full revenue cycle process.
• Responsible to complete special A/R projects when rates increase/decrease retroactively.
• Other special projects as assigned.

Benefits

• Competitive compensation structures and the opportunity for associates to gather valuable practical experience and advance careers much more quickly than at other providers.
• Generous paid time off that we actively encourage our associates to use which promotes a work/life balance.
• Tuition assistance and a student loan forgiveness program to ensure that when you work to improve your ability to help our clients, you can rely on KidsPeace to support you.
• Comprehensive benefits package including life and disability insurance as well as pet insurance!
• An organizational culture filled with respect and the comradery of like-minded colleagues who live the mission to Give Hope, Help and Healing to Children, Adults and Those Who Love Them.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Nursing and Residential Care Facilities
• Education Level: High school or GED