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SouthEast Alaska Regional Health Consortium (SEARHC) · 2 weeks ago

Patient Financial Services Specialist II - SEARHC Corporate Office

Juneau, AK

Full-time

Onsite

Entry, Mid Level

$25/hr - $33.71/hr

2+ years exp

SouthEast Alaska Regional Health Consortium (SEARHC) is a non-profit health consortium serving the health interests of Southeast Alaska residents. The Patient Financial Services Specialist II performs various patient accounting functions, including insurance billing, accounts receivable management, and customer service related to billing inquiries.

Health CareNon Profit

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

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

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

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

Qualification

BillingCollectionsInsurance claim processingAccounts receivable managementMedical terminologyCPTHCPCS knowledgeMicrosoft Office proficiencyDetail orientationProblem solvingVerbal communicationCollaboration

Required

High school diploma or equivalent – required

Two years of experience in billing, collections and/or cash posting – required

Knowledge of hospital or clinic billing and follow up and medical terminology

Knowledge of payor remittances and basic knowledge of CPT's, HCPCS, and Revenue Codes

Knowledge of major insurance companies' billing policies to ensure compliance and insurance claim forms

Knowledge of specific specialties within the hospital or clinic billing area

Knowledge of reconciling and balancing of payments received against account receivables

Skills in using a keyboard and 10-key

Problem solving, decision making and detail orientation

Verbal and written communication

Ability to collaborate within cross-functional teams

Ability to work in a fast-paced setting

Proficient in Microsoft Office Products including Word, Excel and PowerPoint

Preferred

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