Senior Patient Accounting Specialist

Logan Health•Kalispell, MT

20h

About The Position

This position provides senior level support for patient medical billing and collection activities in assigned area(s). Assigned areas may consist of, but may not be limited to; billing, payment posting, collections, payer claims research, customer service, accounts receivable, etc. The specialist assists the team lead with education, training and the first level escalation/questions from the team. The role supports Logan Health in fulfilling its mission, vision, and values: Mission: Quality, compassionate care for all. Vision: Reimagine health care through connection, service and innovation. Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence.

Requirements

Minimum of one (1) of the following: one (1) year working experience with claims, billing and/or collections; two (2) years’ in a business office setting; Associates degree in a related field; or an equivalent combination of education and experience.
Demonstrated high level problem solving, analytical and/or investigational skills.
Possess training skills to successfully share working knowledge and experience with others.
Possess and maintain computer skills to include working knowledge of Word, Outlook, Excel, and ability to learn other software as needed.
Promotes excellence through setting high standards and providing high quality outcomes.
Ability to act with integrity, kindness, and exhibit empathy.
Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently.
Commitment to working in a team environment and maintaining confidentiality as needed.
Excellent verbal and written communication skills including the ability to communicate effectively with various audiences.
Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.

Nice To Haves

Previous hospital or medical office setting.
Working knowledge of claim resolution.
Knowledge and understanding of payer regulations.
Proficiency in Excel and /or revenue cycle software.

Responsibilities

Acts as resource and serves as first line of escalation for Patient Accounting specialist team members.
Performs as a Patient Accounting liaison between patients, clients, providers, payers, vendors and other departments.
Identifies and reports payer related issues and potential payment discrepancies.
Effectively trains and assists new and existing team members with assigned work in accordance with team expectations, department productivity and quality standards.
Assists Team Lead and assigned leadership with special projects and maintains open and professional communication with leadership and staff.
Analyzes and interprets account data to facilitate timely claim and payment resolution.
Collaborates and/or refers unresolved issues and escalates to appropriate party.
Posts payments and adjustments utilizing the appropriate fee schedule, policy and/or procedures in accordance with patient statements, remittance advices, insurance carriers, electronic downloads, etc.
Ensures all communication, both written and verbal, is documented in a professional, accurate, clear and factual manner.
Completes account maintenance review to ensure account information is accurate within billing system.
Interprets explanation of benefits (EOB) message codes, validates payer processing and identifies potential payment discrepancies.
Provides exceptional customer service to stakeholders for questions and concerns.
Participates in team meetings and activities.
Contributes to the philosophy and goals of the team and department while maintaining a positive, open-mind and focus on continuous improvement.
Maintains regular and consistent attendance as scheduled by department leadership.