Patient Financial Services Specialist II - SEARHC Corporate Office

SouthEast Alaska Regional Health Consortium•Juneau, AK

15d•$25 - $34

About The Position

Performs a variety of patient accounting functions including insurance billing, self-pay billing, remit analysis & cash posting, accounts receivable management, claims follow up, charge validation and analysis, denials analysis & resolution and tasks to support the Consortium’s month end close processes. SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement. Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more.

Requirements

High school diploma or equivalent – .
Two year s of experience in billing, collections and/or cash posting –
K nowledge of hospital or clinic billing and follow up and medical terminology
K nowledge of payor remittances and basic knowledge of CPT’s, HCPCS, and Revenue Codes
K nowledge of major insurance companies' billing policies to ensure compliance and insurance claim forms
K nowledge 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
Proficient in Microsoft Office Products including Word, Excel and PowerPoint

Nice To Haves

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 .

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
Reconcile 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
Assist in communication of strategies or messages from senior leadership
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