Beloit Health System · 1 day ago

Patient Financial Services Specialist II - Remote

Beloit, WI

Full-time

Remote

Entry, Mid Level

2+ years exp

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Responsibilities

Work remotely and independently (WI and IL residents only)

Be responsible for accurate billing of health system services

Prepare claims for billing through edit resolution

Ensure timely claim submission

Obtain fiscal resolution of no pay/overpayment determinations(denials) through appeal

Analyze payor claims processing and reimbursement to contractual obligations to ensure facility is receiving proper payment for services

Document all work in accordance with departmental standards

Qualification

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CRCR certificationCRCS certificationMedicare billingClaims resolutionMedicare Direct Data EntryPatient accounting processesBusiness office experience

Required

High school diploma or equivalent

Certification as Revenue Cycle Representative (CRCR) or Specialist (CRCS) within one year or at time of placement

2+ years’ experience (within the last 3 years) of Medicare billing and claims resolution for institutional and professional claim management in the Medicare Direct Date Entry (DDE) system

Knowledge of advanced patient accounting processes and healthcare

Preferred

4+ years’ (within the last 5 years) of customer service and/or business office experience, ideally in a combination of hospital and professional settings