Patient Financial Services Specialist II - On Site
Beloit Health System•Beloit, WI
•Onsite
About The Position
In this fully onsite position, the primary responsibilities include accurately billing patient accounts, ensuring timely claim submission and reimbursement for Medicare and Medicare Advantage health plans, as well as related third-party payers and patients assigned secondary financial responsibility. The position requires proper account documentation in facility's billing system and pursuit of aged account resolution under the minimal supervision of team lead and/or departmental leaders.
Requirements
- High school diploma or equivalent certification required
- 2+ years of Medicare billing and claims resolution for institutional and professional claims management in the Medicare Direct Data Entry system (DDE).
- Must adhere to established Hospital and Finance department policies, rules and regulations.
- Maintain ethical conduct and keep confidential personal and medical information about patients.
Nice To Haves
- 4+ years of customer service and/or business office experience preferred, ideally in a combination of hospital and professional settings
Responsibilities
- Words daily electronic billing file and submits insurance claims to Medicare, Medicare Advantage, and third-party payers.
- Documents billing activity on relevant encounter(s) according to departmental standards; ensuring compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders.
- Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process.
- Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals.
- Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders.
- Practices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner.
- Assists in reviewing and/or resolving credit balances.
- Participates in general or special assignments and attends required training.
- Demonstrates regular and reliable attendance to perform essential duties within the scope of position.
- Other duties as assigned.
Benefits
- Benefits Eligible
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
