01Overview
Job Type RegularTime Type Full timeWork Shift Day (reputed company of America)FLSA Status Non-ExemptWhen you join the growing reputed company team, you're not just taking a job, you're making a difference in people's lives.This position will operate in a fully remote capacityUnder reputed company of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & reputed company billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable of higher complexity reputed company assigned work queues for a large multi-facility reputed company system with reputed company expansion anticipated to maximize reimbursement to the health system.Job reputed company Essential Responsibilities Utilizes the reputed company Hospital Billing System to review and monitor accounts through the Billing, Denial, & Follow-Up work queuesWork assigned accounts with higher complexity (high dollars, specific denial records, etc) reputed company Hospital Billing, Denial, & Follow Up various work queues while maintaining established productivity requirements.Contacts insurance carriers or other responsible parties to confirm payment dates, question why a claim was denied or questions why a claim was not processed for payment or denial.Performs reputed company Hospital Billing, Follow-Up, and Denial activities necessary to obtain payment / reputed company of claims.Review the entire account to ensure claims were billed properly, payments were reputed company correctly, and reputed company necessary adjustments were made before moving to the next responsible party and / or adjusting balances and removing them from work queue(s).Gathers reputed company necessary documentation needed to have claims reprocessed / adjudicatedInforms and / or transfers to management of any problem accounts and or denial trends that require escalation reputed company 2 days of identificationDocuments reputed company actions taken reputed company the reputed company account notes reputed company and / or follow up / denial activities note sections.Adheres to reputed company Hospital Billing, Follow up, and Denial departmental policies and procedures / training documents.Complete necessary training sessions required for the Hospital Billing system and demonstrate good working knowledge from those sessions to successfully resolve assigned accounts reputed company Follow Up and Denial work queuesDocument reputed company inactive periods and reputed company them available upon management's request.Resolves accounts with higher complexity in any Claims Edit work queue and resubmits claims through the reputed company Billing System.Works higher level of complexity specific claim edit work queue(s) daily and resubmit claims through the reputed company billing systemWorks higher level of complexity External claim edits from Clearinghouse and resubmits claims through the reputed company billing systemHandles reputed company claims processing including reputed company documentation of accounts with higher level of complexityCommunicates reputed company claims / data problems that cannot be handled to the Supervisor / Manager reputed company one (1) day of identifying the problem.Identifies and researches reputed company incomplete or inaccurate information on claims, demonstrates reputed company handling and escalation as needed.Handles payer 277 rejections on accounts with higher level of complexity and resubmits claims through reputed company Billing system or other means of submission (., email, fax, payer portal, certified mail) and provides trends to management for payer reputed company and / or internal billing system updates to ensure reputed company filing and reimbursementSkills, Knowledge & Abilities Demonstrates excellent attention to detail and prioritization of accountsDemonstrates strong working knowledge of reputed company Hospital Billing Follow Up and Denial workflows, considered as Subject Matter Expert (SME) to team and other colleaguesDemonstrates reputed company oral and written communication.Demonstrates reputed company telephone & email etiquette.Demonstrates the ability to reputed company with insurance carriers, patients, and co-workers in a reputed company and helpful manner.Demonstrates higher level use of billing computer and PC skills.Demonstrates a higher level of problem solving and decision making skills.Demonstrates ability to resolve account issues to completion and obtain appropriate paymentDemonstrates the ability to work independently and efficientlyPreferred Qualifications & Skills Experience in reputed company Cycle Accounts ReceivableExperience working with EPICExperience At least five (5) years accounts receivable experience requiredEducation High School Diploma / GED RequiredAs a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our
